Table 1.
Non-ERAS | ERAS | Compliance | |
---|---|---|---|
Preadmission | No intervention | 1. Education on smoking and excessive drinking cessation; available counseling services at any time; appropriate optimization of chronic disease in outpatient and inpatient settings; nutritional assessment and support | 98.3% |
Preoperative | Not standardized | 2. Informing patients and relatives about risk and discomfort related to procedure in greater detail; ensuring that patients learn and understand ERAS pathway | 99.0% |
Route preparation | 3. Avoiding mechanical bowel preparation and use of gastric tube | 99.4% | |
No intervention | 4. Drinking oral carbohydrate beverage 2 h before surgery; no prolonged fasting | 97.7% | |
No intervention | 5. Oral administration of 150 mg of Pregabalin | 97.1% | |
Intraoperative | No intervention | 6. Infiltration of local anesthesia with a mixture of 10 ml 2% lidocaine and 10 ml 1% ropivacaine into the musculature prior to incision and after skin closure | 99.4% |
Antibiotic prophylaxis within 1 h of incision | 7. Antibiotic prophylaxis within 1 h of incision | 100% | |
Not standardized | 8. Intravenous infusion of tranexamic acid | 98.1% | |
Not standardized | 9. Maintenance of normothermia; maintaining fluid balance | 100% | |
Postoperative | Intake of fluid on POD1 | 10. Early intake of fluid on the day of surgery(after recovery from anesthesia) | 81.1% |
Not standardized | 11. Ealy function rehabilitation on the day of surgery and ambulate on POD1 | 70.7% | |
Not standardized | 12. Postoperative prophylaxis against thrombosis and postoperative nausea and vomiting | 94.5% | |
Not standardized | 13. Removal of urinary catheters on the day of surgery and removal of drain tube on POD 2 | 72.6% | |
No intervention | 14. Multimodal analgesia and opioid-sparing analgesia | 100% | |
No intervention | 15. Intake of oral nutrition powder for every meal | 98.1% | |
Route postoperative antimicrobial prophylaxis | 16. Route postoperative antimicrobial prophylaxis | 100% |
POD1: postoperative day 1; POD2: postoperative day 2