Table 3 Overview of specific ERAS targets in accelerated ERPs
Author/year | Pre-operative | Perioperative | Post-operative | After discharge |
|---|---|---|---|---|
de Azevedo et al. [34]; 2021 | -No mechanical bowel preparation -Oral AB1 -Admission at 07.00 AM | -Intraabdominal pressure 12 mmHg -Hyperoxygenation -Limited i.v. fluids -Local anaesthesia or TAP2 block | -Prokinetics -Regular analgesics | |
Bednarski et al. [32]; 2019 | -Mechanical bowel preparation & oral AB1 -Adjusted analgesia -GD3 fluid management | -I.v. dexamethasone -Narcotic sparing anaesthesia -Fluid optimization -MIS4 | -Early intake -Discharge POD5 1 | -Teleconsulting POD5 2 -Outpatient i.v. fluid hydration if necessary |
Chasserant et al. [30]; 2016 | -Counselling -Dietary intervention (low residual diet) -Colon preparation | -TCIVA6 -Adjusted analgesia including TAP2 block, nefopam -MIS4 | -Chewing gum -Early mobilization and intake -Discharge POD5 0 | -Surveillance at home by visiting nurse POD5 0–4 2x/day, POD5 5–10 daily -Daily transmission clinical data -Daily phone call surgical assistant -Lab test POD5 1, 3, 5 |
Curfman et al. [27]; 2022 | -MIS4 | -Discharge from PACU7 POD0 -Adjusted anti-emetics and analgesia | -Telephone consult POD5 1&3 -Visit outpatient clinic POD5 5&7 | |
Favuzza et al. [31]; 2013 | -MIS4 -TAP2 block | -Early mobilization and intake -Spirometry hourly -Discharge POD51 | -Telephone consult < 48 h after surgery | |
Kiran et al. [28]; 2022 | -Counselling -Adjusted analgesia -Mechanical bowel preparation& oral AB1 -Antiseptic shower | -Specimen extraction with wound protector -Wound infiltration | -Adjusted anti-emetics and analgesia -Lab at PACU6 -Discharge from PACU6 POD5 0 | -Telephone consult POD5 1 |
Lee et al. [17]; 2022 | -Download mobile phone application (site 1) -First operation of the day | -MIS4 -TAP2 block | -Monitoring at PACU6 4-6 h -Opioid-sparing analgesics -Early mobilization and intake | -One of the two sites offered daily health checks with a mobile app until POD5 7 |
Lee et al. [12]; 2022 | -Download mobile phone application -First operation of the day | -MIS4 -TAP2 block | -Monitoring at PACU6 4-6 h -Opioid-sparing analgesics -Early mobilization and intake | -Daily health checks with a mobile app until POD5 7 |
Levy et al. [9]; 2009 | -Counselling -Adjusted analgesia -Avoidance bowel preparation -Surgery scheduled 2nd of the day | -Spinal anaesthesia -Oesophageal doppler for GD3 fluid therapy | -Analgesia - Early mobilization and intake -Discharge < 24 h | -Telephone consult evening of discharge (POD5 1) |
Popeskou et al. [33]; 2022 | -Counselling | -Spinal anaesthesia -MIS4 -Wound infiltration | -Early mobilization and intake -Discharge < 24 h | -Daily telephone consult until POD5 7 |
Seux et al. [11]; 2022 | -Counselling -Immunonutrition 7 days -Admission surgery 7a.m | -Infiltration of ropivacaine at diaphragmatic domes -Laparoscopy with mini-laparotomy incisions -Opioid-sparing regimen | -No i.v. infusion -Oral analgesia only -Early mobilization and intake -Discharge 12 h after surgery | -Nutritional supplements -Chewing gum and oral magnesium -Clinical monitoring until POD5 10 1x/day by nurse -Daily telephone consults until POD5 5 -Lab check POD5 2, 4 and 8 |
Studniarek et al. [29]; 2020 | -Counselling | -Local wound infiltration | -Early discharge | -Mobile communication platform |
Tweed et al. [26]; 2022 | -Counselling -Adjusted analgesia -Mobile until surgery | -Spinal anaesthesia -Low intraabdominal pressure -MIS4 -Intracorporeal anastomosis -Restricted fluid infusion | -Analgesia -Early mobilization and intake -Discharge < 24 h | -Telephone consult POD5 1 & 3 |