|
Preoperative education
|
Patients were educated systematically by the esophageal clinical nurse consultant;
|
Patients were educated in the standard manner
|
|
Day before surgery
| | |
|
Diet
|
Last drink 2 h and diet 6 h before operation
|
Last drink and diet at midnight
|
|
Fructose and protein loading
|
Yes
|
No
|
|
Day of surgery
| | |
|
Nasogastric tube
|
No routine use of nasogastric tube
|
Routine use of nasogastric tube
|
|
Pre-anesthetic medication
|
No
|
Diazepam 10 mg
|
|
Anesthesia
|
General anesthesia + Epidural anesthesia;
|
General anesthesia;
|
|
Maintaining normothermia
|
Yes
|
No
|
|
Transfusion
|
Autologous blood transfusion or limit allogenic blood transfusion
|
Allogenic blood transfusion
|
|
Abdomen tube
|
No routine use of drains
|
Routine placement; Remove at POD3
|
|
Cervical tube
|
No routine use of drains
|
Routine placement; Remove at POD2
|
|
Early postoperative care
|
Patient sent to floor
|
Patient sent to ICU
|
|
Analgesia
|
Epidural PCA
|
Analgesia by morphine or vein PCA
|
|
Enteral nutrition
|
Jejunostomy tube feeding
|
Nasojejunal tube feeding
|
