Table 1 Perioperative management of two groups of patients with lumbar disc herniation
Implementation projects | ERAS group | Traditional group |
|---|---|---|
Preoperative | ||
Sedation and analgesia | Yes | No |
Education | Pre-operative education program + pre-operative counseling | Traditional education |
Skin preparation | Area skin cleansing + operation area skin pre-depletion | Routine operations |
Diet | No need to fast water or water deprivation | fasting 6 h, water deprivation 2 h |
Prevention of gastrointestinal reactions | Application of serotonin receptor antagonists | No |
Intraoperative | ||
Anesthesia monitoring | Anesthesiologist for intraoperative testing, if necessary, analgesia and other drugs | No |
Prevention of hypothermia | Keep warm and prevent low temperature | No |
Operation | Local subcutaneous injection of ropivacaine to relieve postoperative incision pain | No |
Postoperative | ||
Postoperative analgesia | Active administration, avoiding opioid use, NSAIDs use | Analgesia on demand |
Postoperative rehydration | No | Intravenous injection of dexamethasone 10 mg/day, for a total of 3 days |
Postoperative nutrition | Nutritionists develop perioperative nutrition plans | Normal diet |
Exercise of lumbar back muscle function | The rehabilitation physician formulates the rehabilitation exercise plan of psoas dorsal muscle and core muscle group after operation | Exercise of lumbar back muscle function |
Getting out of bed | 3 h postoperative | 48 h postoperative |