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Table 3 ERAS protocol

From: Feasibility research of enhanced recovery after surgery implemented in esophageal cancer patients who underwent neoadjuvant chemotherapy

Period

Intervention

Preoperative

1. Preadmission counseling

2. Quit smoking and drinking 2 weeks before surgery

3. Preoperative visit and evaluation

4. Preoperative nutritional support

5. Respiratory tract management

6. No prolonged fasting

7. No routine mechanical bowel preparation

Intraoperative

8. Antibiotic prophylaxis

9. General anesthesia combined with erector spinae plane block (ESPB)

10. The monitoring of anesthetic depth

11. Maintaining normothermia

12. Intraoperative infusion and circulatory system management

Postoperative

13. Postoperative pain management

14. Postoperative nausea and vomiting prevention

15. Early removal of urinary catheter

16. Early ambulation

17. Postoperative nutritional support

18. Venous thromboembolism prophylaxis

19. Early removal of thoracic drainage tube

20. Patient education before hospital discharge

  1. EOF early oral feeding, ERAS enhanced recovery after surgery, ESPB erector spinae plane block, MBP mechanical bowel preparation, NS normal saline, POD postoperative day