Table 1. Summary of interventions addressed in Thoracic Surgery ERAS® guidelines [Adapted from Batchelor et al. (6)].
Preoperative phase |
Preadmission information, education and counselling |
Smoking cessation |
Anaemia management |
Alcohol dependency management |
Pulmonary rehabilitation and prehabilitation |
Preoperative fasting and carbohydrate treatment |
Preanaesthetic medication |
Perioperative phase |
Venous thromboembolism prophylaxis |
Antibiotic prophylaxis and skin preparation |
Preventing intraoperative hypothermia |
Standard anaesthetic protocol |
PONV control |
Regional anaesthesia and pain relief |
Perioperative fluid management |
Atrial fibrillation prevention |
Surgical technique: thoracotomy |
Surgical technique: minimally invasive surgery |
Postoperative phase |
Chest drain management |
Urinary drainage |
Early mobilization and adjuncts to physiotherapy |
PONV, postoperative nausea and vomiting.