CR Preop
Colorectal Process Measures
Immediate Preop
Compliance Audit
Immediate Pre-op Period
Compliance Measures to Capture
NPO
No Solids 8 hours prior to surgery
Maybe longer if bowel prep
Clear Liquids
up to 2 hours before Induction
Less than 8 and more than 2 hours before.
ACS-ISCR (p.42)
("optional")
POWERS 2019 (P = 0.002)
Compliance 72%
ERAS 2018 (p.669)
ASCRS-SAGES (p.764)
Carbohydrate Preload
2 to 4 hours before induction
50 gram Carb in 400 ml
POWERS 2019 (P < 0.001)
Compliance 39%
ASCRS-SAGES (p.764)
ERAS 2018 (p.669-70)
(Exclude motility disorder
Exclude delayed gastric emptying
Exclude Emergent Surgery)
Bowel Prep and
Oral Antibiotics
Tracked in Preadmission
Reinforce Teaching
Multi-modal Analgesia
Opiate Sparing
Pain Control
Not necessarily Pain Free
Early Ambulation
Early Feeding
Immediate Preop
Data Points to Capture
Immediate Preop
Data to Consider
VTE Chemoprophylaxis
ACS-ISCR (p.41)
("optional")
Multi-Modal Analgesia
Pre-Warming
References
POWER Study Group 2019: real data
Association Between Use of Enhanced Recovery After Surgery Protocol and Postoperative Complications in Colorectal Surgery. The Postoperative Outcomes within Enhanced Recovery After Surgery Protocol (POWER) Study
Javier Ripolles-Melchor et at, JAMA Surg 2019;154(8):725-736
