As per enhanced recovery programme in colon surgeries, which of the following is true?
Enhanced recovery programmes have been shown to reduce the length of hospital stay from 10-14 days to as little as 2-3 days, by modulating the surgical stress response and reducing postoperative ileus.Key elements of an enhanced recovery programmePreadmission counsellingAvoidance of mechanical bowel preparationPreoperative carbohydrate loadingAvoidance of preoperative dehydrationNo nasogastric tubesSho, transverse incisions (or laparoscopic procedure)Sho-acting anaesthetic drugsAvoidance of perioperative fluid/salt overloadThoracic epiduralsAvoidance of opiate analgesiaMaintenance of perioperative temperaturePrevention of postoperative nausea and vomitingEarly mobilisationEarly introduction of oral fluids/diets/supplementsEarly removal of urinary cathetersContinual audit of outcomesRef: Bailey and love, page: 1266
Bowel preperation a day prior to surgery
Nil per oral from the night before surgery
Avoidance of perioperative fluid load
Opiod analgesia preferred
G.I.T