ERAS 22 elements | Â |
---|---|
Preoperative | Â |
 1. PAC patient education |  |
 1. PAC shared decision-making |  |
 1. PAC nutrition |  |
 1. PAC medical optimization |  |
 2. Fluid and carb loading |  |
 3. No prolonged fasting |  |
 4. No/selective bowel prep |  |
 5. Antibiotic prophylaxis |  |
Intraoperative | Â |
 6. Thromboprophylaxis |  |
 7. No premedication |  |
 8. Nausea and vomiting prophylaxis |  |
 9. Short-acting anaesthetic agents |  |
 10. No drains |  |
 11. Avoidance of salt and water overload |  |
 12. Maintenance of normothermia |  |
Postoperative | Â |
 13. Mid-thoracic epidural anesthesia/analgesic |  |
 14. No nasogastric tubes |  |
 15. Prevention of nausea and vomiting |  |
 16. Avoidance of salt and water load |  |
 17. Early removal of catheter |  |
 18. Early oral nutrition |  |
 19. Non-opioid oral analgesia/NSAIDs |  |
 20. Early mobilization |  |
 21. Stimulation of gut motility |  |
 22. Audit of compliance and outcomes |  |
Not applicable | Â |