Protocol compliance in the enhanced recovery after surgery (ERAS) group
Elements | % |
Pre-operative | |
Pre-operative information and counseling | 100.0 |
Pre-operative optimization | 100.0 |
Carbohydrate loading drink and diet until 6 hours before surgery | 95.6 |
Carbohydrate loading clear liquid 2 hours prior to surgery | 88.9 |
Elimination of mechanical bowel preparation | 95.6 |
Avoidance of pre-anesthetic medicine | 100.0 |
Prophylaxis against thromboembolism | 100.0 |
Anti-microbial prophylaxis | 100.0 |
Pre-emptive analgesia | 97.8 |
Intra-operative | |
Standard anesthetic protocol | 100.0 |
Post-operative nausea and vomiting prophylaxis | 100.0 |
Local wound infiltration | 95.6 |
Preventing intra-operative hypothermia | 100.0 |
Removal of nasogastric tube at extubation | 97.8 |
Avoidance of abdominal drain | 91.1 |
POD 0 | |
Tolerance of liquid diet | 44.4 |
Ambulation | 62.2 |
Avoidance of narcotic analgesia | 86.7 |
POD 1/2 | |
Intravenous fluid requirement <1500 mL/24 hours | 88.9 |
Tolerance of liquid diet on POD 2 | 86.7 |
Removal of Foley catheter within 24 hours of surgery | 93.3 |
Out of bed ambulation (walking) | 97.7 |
Avoidance of narcotic analgesia | 95.6 |
Removal of epidural catheter | 100.0 |
POD 3/4 | |
Tolerance of semi-solid diet on POD 3 | 53.3 |
Tolerance of semi-solid diet on POD 4 | 84.4 |
Overall compliance | 90.6 |
CM, conventional management; ERAS, enhanced recovery after surgery; POD, post-operative day.