Implementation of enhanced recovery after surgery (ERAS) in elder patients undergoing gynecological laparoscopic surgery
Conditions
Interventions
ERAS protocol group for laparoscopic surgery:Preoperative assessment of the indicators ERAS mission
Method of anesthesia: general anesthesia combined with transverse abdominal muscle plane block
Perioperative lung protective ventilation strategies
Goal-oriented liquid management
NSAIDS preemptive analgesia
Prevention of postoperative nausea and vomiting (PONV)
Laparoscopic operation group was performed separately:None
Sponsors
Beijing Fuxing Hospital, Capital Medical University.
Eligibility
Sex/Gender
All
Age
65 Years to 99 Years
Inclusion criteria
Inclusion criteria: In this study, patients aged over 65 years old who underwent laparoscopic surgery in the center ward of gynecology and hysteroscopy in our hospital were randomly divided into laparoscopic surgery combined with ERAS protocol group and laparoscopic surgery alone group.
Exclusion criteria
Exclusion criteria: (1) American Society of Anesthesiologists (ASA) rating at Lv. IV (2) Body mass index: BMI=30kg/m2 (3) There are contraindications to regional or general anesthesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Length of stay (days); | — |
Secondary
| Measure | Time frame |
|---|---|
| Total patient inpatient cost;Pain score 24 hours after surgery;Postoperative delirium score;Frequency of nausea and vomiting;Whether chronic pain was present 3 months after surgery; | — |
Countries
Pepole's Republic of China
Contacts
Public ContactSun jian
Beijing Fuxing Hospital, Capital Medical University.
Outcome results
None listed