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Types of ERAS interventions |
| Preoperative |
1. Patient information, risk assessment
2. Short period of liquid and food restriction before surgery(4 hours)
3. Lack of bowel preparation /mechanical, antibiotic/.
4. Cancelled pre-medication |
| Intraoperative |
5. Optimal general anesthesia.
6. Control of hypoxia
7. Control of hypothermia
8. Restriction of intravenous fluid overload.
9. Transverse laparotomy, laparoscopic procedures
10. Avoid naso-gastric tube and urinary catheter when possible
11. Intra-peritoneal drains only when indicated |
| Postoperative |
12. Multimodal analgesia - no systemic use of opoids
13. Per-oral feeding with liquids and solid food from day 1-2
14. Routine anti-emetic
15. Pro-kinetics and/or laxatives when needed
16. Early mobilization from bed - standing up and walking from day 2
17. Routine deep venous thrombosis prophylaxis
18. Early take off nasogastric tubes, drains, urinary catheters, iv access
19. Requirements for discharge - restored per-oral feeding, defecation, primary wound healing, controlled pain |
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