Variable | Pre-ERP (n = 246) | ERP (n = 140) | ERP + GDHT (n = 237) | P value |
---|---|---|---|---|
Times | ||||
Surgery time (min) | 144 (108, 195) | 178 (135, 237) | 165 (122, 214) | < 0.01 |
Anesthesia time (min) | 179 (144, 237) | 222 (179, 282) | 206 (164, 263) | < 0.01 |
Use of epidural analgesia, N (%) of patients receiving | 16 (6.5%) | 16 (11.4%) | 11 (4.7%) | 0.04 |
Surgical site infection prevention | ||||
Pre-incision antibiotics % | 246 (100%) | 140 (100%) | 236 (99.6%) | 0.44 |
Median temperature, °C | 36.4 (36.1, 36.7) | 36.3 (36.0, 36.7) | 36.0 (35.7, 36.3) | < 0.01 |
Fraction of inspired oxygen | 0.60 (0.55, 0.80) | 0.81 (0.76, 0.84) | 0.75 (0.59, 0.80) | < 0.01 |
End-tidal carbon dioxide, mmHg | 34 (32, 38) | 38 (35, 39) | 37 (34, 39) | < 0.01 |
Glucose | ||||
Preoperative, mg/dL | 95 (87,106) | 102 (92,123) | 105 (92,124) | < 0.01 |
Recovery room, mg/dL | 146 (127,168) | 144 (122,172) | 158 (138,178) | 0.11 |
Recovery room glucose > 180, N (%) of patients | 9 (3.7%) | 17 (12.1%) | 17 (7.2%) | 0.01 |
Intraoperative intravenous fluid use | ||||
Total Intravenous fluids, mL | 2125 (1700,2925) | 1900 (1450,2500) | 1800 (1500,2300) | < 0.01 |
Crystalloid, mL | 2000 (1600,2800) | 1800 (1450,2428) | 1800 (1500,2300) | < 0.01 |
Plasmalyte-A or lactated r inger’s, mL | 2000 (1500,2600) | 1700 (1400,2400) | 1800 (1438,2200) | 0.04 |
Colloid, N (%) | 36 (14.6%) | 9 (6.4%) | 15 (6.4%) | < 0.01 |
Albumin, N (%) | 35 (14.2%) | 9 (6.4%) | 14 (5.9%) | < 0.01 |
Fresh frozen plasma, N (%) | 0 (0%) | 0 (0%) | 0 (0%) | 0.80 |
Packed red blood cells, N (%) | 4 (1.6%) | 0 (0%) | 0 (0.8%) | 0.43 |
Blood loss, mL | 50 (50,100) | 75 (29,150) | 73 (30,150) | 0.98 |
Vasopressor drug use | ||||
Vasopressor bolus, N (%) | 142 (57.7%) | 97 (69.3%) | 169 (71.2%) | < 0.01 |
Vasopressor infusion, N (%) | 9 (3.7%) | 14 (10.0%) | 53 (22.5%) | < 0.01 |
Inotrope bolus, N (%) | 103 (41.9%) | 50 (35.7%) | 122 (51.3%) | 0.01 |
Inotrope infusion, N (%) | 0 (0%) | 1 (0.7%) | 2 (0.8%) | 0.37 |
Disposition from operating room (% going to each destination) | ||||
Surgical ward, % | 246 (100%) | 139 (99.3%) | 236 (99.6%) | 0.46 |
Intensive care unit, % | 0 (0%) | 1 (0.7%) | 1 (0.4%) |