Intraoperative

 

  • PONV prophylaxis

  • Careful titration of anesthetics

  • Ensure full recovery of neuromuscular blockade (TOF >0.9)

  • Maintain normal PaO2; avoid hyperoxia

  • Maintain normothermia

  • Maintain normoglycemia (treat glucose >10 mmol/L, avoid hypoglycemia)

  • Fluid therapy: maintain fluid homeostasis; avoid fluid excess & organ hypoperfusion

    • avoid 0.9% saline; use balanced crystalloid solutions

  • Opioid-sparing analgesia (see Postoperative)

 

 

Adapted from Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice. Acta Anaesthesiologica Scandinavica 60 (2016) 289–334

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