Table 4 Intraoperative management
Historical controls (N = 100) | ERAS patient (N = 100) | p value | |
|---|---|---|---|
ERAS pathway compliance | |||
Preoperative oral carbohydrate drink | 0 (0.00%) | 87 (87.00%) | < 0.0011 |
Unknown | 0 (0.00%) | 10 (10.00%) | |
Antibiotic prophylaxis in the OR | 98 (98.00%) | 100 (100.00%) | 0.4971 |
Thrombosis prophylaxis | 62 (62.00%) | 97 (97.00%) | < 0.0011 |
Epidural placed | 74 (74.00%) | 95 (95.00%) | < 0.0011 |
Any intraoperative block | 4 (4.00%) | 2 (2.00%) | 0.6831 |
PONV prophylaxis administered | 80 (80.00%) | 98 (98.00%) | < 0.0011 |
Number of PONV prophylaxis medications given | 0.81 (0.46) | 1.37 (0.54) | < 0.0012 |
Upper-body forced-air heating cover used | 99 (99.00%) | 99 (99.00%) | 1.0001 |
Hemodynamic monitor | 13 (13.00%) | 99 (99.00%) | < 0.0011 |
Unknown | 11 (11.00%) | 0 (0.00%) | |
Nasogastric tube used postoperatively | 55 (55.00%) | 30 (30.00%) | < 0.0013 |
Parenteral opioids given within 48 h postoperatively | 32 (32.00%) | 39 (39.00%) | 0.3013 |
Fluids | |||
Intraoperative blood loss (mL) | 1411.25 (901.84) | 999.25 (549.87) | 0.0012 |
RBC transfusion | 80 (80.00%) | 48 (48.00%) | < 0.0013 |
RBC transfusion amount (mL) | 945.47 (917.51) | 408.26 (544.82) | < 0.0012 |
FFP transfusion | 27 (27.00%) | 9 (9.09%) | 0.0013 |
FFP transfusion amount (mL) | 152.43 (322.96) | 47.60 (167.12) | 0.0012 |
Cryoprecipitate transfusion | 4 (4.00%) | 3 (3.00%) | 0.7003 |
Cryoprecipitate transfusion amount (mL) | 18.28 (110.27) | 14.69 (125.73) | 0.6932 |
Platelet transfusion | 6 (6.00%) | 2 (2.00%) | 0.1493 |
Platelet transfusion amount (mL) | 16.46 (79.20) | 3.02 (30.00) | 0.1492 |
Lactated ringers | 99 (99.00%) | 100 (100.00%) | 0.9991 |
Lactated ringers amount (mL) | 3297.83 (1759.02) | 2402.88 (771.84) | < 0.0012 |
Saline | 55 (55.00%) | 23 (23.00%) | < 0.0013 |
Saline amount (mL) | 456.00 (612.34) | 131.50 (298.54) | < 0.0012 |
Hydroxyethyl starch 6% | 38 (38.00%) | 0 (0.00%) | < 0.0011 |
Hydroxyethyl starch 6% amount (mL) | 533.50 (869.00) | 0.00 (0.00) | < 0.0012 |
Albumin 5% | 4 (4.00%) | 67 (67.00%) | < 0.0011 |
Albumin 5% amount (mL) | 27.72 (164.11) | 832.75 (761.88) | < 0.0012 |
Total IV volume of colloids intraoperatively (mL) | 1293.22 (1022.68) | 1152.50 (689.19) | 0.4602 |
Total IV volume of crystalloids intraoperatively (mL) | 3758.83 (1850.67) | 2546.08 (827.96) | < 0.0012 |
Day of surgery, fluids ≥1 L | 40 (40.40%) | 43 (43.00%) | 0.7103 |