Table 1.
ERAS group | Traditional group |
---|---|
Preoperative interventions | |
Instruction and education Egg white Preoperative analgesia Anxiety management Clear oral liquids up to 2 h before surgery Moxapride (5 mg) 3 h before surgery No urinary catheter (unilateral UKA) |
Instruction and education No egg white No preoperative analgesia No Anxiety management Oral liquids up to 6 h before surgery No prevention of postoperative nausea and vomiting Urinary catheter |
Intraoperative interventions | |
Intraspinal anesthesia combined with femoral never block Restricted infusion (<1500 mL) Local injection of cocktail Intra-articular perfusion of tranexamic acid (1 g) Intravenous dexamethasone (10 mg) No drainage tube Controlled blood pressure Warm saline rinses |
Intraspinal anesthesia No restricted infusion Local injection of cocktail No intra-articular perfusion of tranexamic acid No application of dexamethasone Drainage tube (24–48 h) No controlled blood pressure Saline rinses |
Postoperative interventions | |
Early initiation of oral intake Intravenous tranexamic acid (1 g, 3 h/6 h/9 h) Ice therapy Multimodal analgesia Intravenous dexamethasone (10 mg, 4 h/24 h) |
No early initiation of oral intake No intravenous tranexamic acid No ice therapy No multimodal analgesia No intravenous dexamethasone |
ERAS = enhanced recovery after surgery, UKA = unicompartmental knee arthroplasty.