Table 2 Comparison between TRP and ERAS procedures
ERAS | TRP | |
|---|---|---|
Prehospital management | Request that patients perform simple abdominal breathing exercises at home before admission | None |
Request patients to stop smoking and taking medications that may interfere with surgery | None | |
Preoperative preparation | Estazolam tablets routinely administered the night before the operation; psychiatrists consulted if necessary | Estazolam administered when necessary |
Pulmonary function tests Abdominal breathing training | Pulmonary function tests | |
Nutritionists evaluate nutritional risk status and provide nutritional support | Serum albumin levels tested and high-quality protein diet recommended | |
Fast for 6 h before surgery; 500-ml carbohydrate drink 3 h before surgery | Fast for 10 h and no water for 4 h, before surgery | |
Isoniazid and rifampicin administered intravenously 2 h before surgery | No antituberculosis treatment administered intravenously 2 h before surgery | |
Intraoperative management | Body temperature monitored; heated mattress used | Body temperature monitored; operating room temperature recorded |
General anaesthesia combined with thoracic paravertebral nerve block | General anaesthesia | |
Avoid volume overload | Maintain haemodynamic stability | |
Postoperative management | Self-controlled analgesic pumps and nonsteroidal drugs to control pain, and the intercostal nerve tissue was guided by ultrasound | Analgesic pump to control pain; intramuscular injection of tramadol if required |
Antiemetic and antireflux drugs administered regularly within 48 h of surgery | Antiemetics used if vomiting occurs | |
Water given after waking up and liquid food 6 h after surgery | Water given 6 h after surgery and food on the first day after surgery | |
Transvenous fluids stopped as soon as possible | Intravenous fluids administered for 3 to 7 days after surgery | |
Aerosol inhalation of phlegm and bronchiectasis drugs | Aerosol inhalation of phlegm and bronchiectasis drugs | |
Concussion expectorator used to assist expectoration | Patient encouraged to expel phlegm by actively coughing | |
Respiratory trainers used to aid lung function recovery | Patient encouraged to take deep breaths or practice blowing up balloons | |
Catheter removed 6 h (female) and 24 h (male) after surgery | Catheter removed 48–72 h after surgery | |
Move limbs in bed after waking up and get out of bed within 24 h of surgery | Move limbs in bed on the 1 st day and get out of bed on the 2nd day after surgery |