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Table 4 Program Adherence Measures

From: Successful implementation of an Enhanced Recovery After Surgery program shortens length of stay and improves postoperative pain, and bowel and bladder function after colorectal surgery

 

Pre- ERAS group (Jun-12 to Aug-13)

ERAS Group (Dec-13 to Nov-14)

p

Pre-operative non opioid medications usage

Acetaminophen n (%)

28 (9.4 %)

277 (89.4 %)

<0.001

Diclofenac n (%)

2 (0.7 %)

104 (33.5 %)

<0.001

Gabapentin n (%)

20 (6.7 %)

281 (90.6 %)

<0.001

Scopolamine n (%)

2 (0.7 %)

68 (21.9 %)

<0.001

Regional analgesia usage

Epidural used for intraoperative analgesia, n (%

78 (26.2 %)

185 (59.7 %)

<0.001

Epidural used for postoperative analgesia, n (%)

86 (29 %)

210 (68 %)

<0.001

TAP block given for intraoperative analgesia, n (%)

9 (3 %)

26 (8.4 %)

0.005

Adjunctive intraoperative medications

Intraoperative Ketamine Infusion, n (%)

20 (6.7 %)

29 (9.4 %)

0.24

Intraoperative Dexamethasone, n (%)

90 (30.2 %)

133 (42.9 %)

0.0014

Intraoperative Ondansetron, n (%)

260 (87.2 %)

272 (87.7 %)

0.9

Chemical DVT prophylaxis

Preoperative DVT prophylaxis with subcutaneous Heparin, n (%)

100 (34 %)

273 (88 %)

<0.001

Preoperative antibiotic

Intravenous antibiotics given before incision, n (%)

268 (90 %)

300 (97 %)

0.0008

Intraoperative fluids

Median introperative crystalloid, ml (min, 1st Q, 3rd Q, max)

1350 (0, 800, 2000, 30,000)

1500 (0, 862.5, 2500, 18,000)

0.027

Median intraoperative colloid, ml (min, 1st Q, 3rd Q, max)

0 (0, 0, 500, 6000)

0 (0, 0, 0, 4500)

<0.001

Post-operative non opioid medications scheduled usage

Acetaminophen n (%)

192 (64.4 %)

289 (93.2 %)

<0.001

Diclofenac n (%)

5 (1.7 %)

70 (22.6 %)

<0.001

Gabapentin n (%)

23 (7.7 %)

254 (81.9 %)

<0.001

Scopolamine n (%)

80 (26.8 %)

188 (60.6 %)

<0.001

Adherence to ambulation

Patients Ambulating on POD 0, n (%)

15 (5.0 %)

309 (99.7 %)

<0.001

Patients Ambulating on POD 1, n (%)

91 (30.5 %)

307 (99.0 %)

<0.001

Patients Ambulating on POD 2, n (%)

97 (32.6 %)

299 (96.5 %)

<0.001

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BMC Anesthesiology

ISSN: 1471-2253

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