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Table 2 ERAS 22 elements

From: Implementation of Enhanced Recovery After Surgery: a strategy to transform surgical care across a health system

ERAS 22 elements

 

Preoperative

 

 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

 

 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

 

 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

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