Time

project

Specific measures

Preoperatively

Enrollment preparation

1. Confirm enrollment and notify the multidisciplinary team; 2. Preliminary assessment, issue accelerated recovery surgical orders; 3. Education and distribution of accelerated recovery manual, signing of informed consent form.

Assessment and intervention

1. History of chronic diseases, such as hypertension, diabetes, COPD, etc.; 2. Psychological status screening (using DT psychological distress thermometer); 3. Social support status, such as family members, medical expenses payment, etc.; 4. Nutritional status, screening for malnutrition risk (NRS2002), diet and lifestyle habits; 5. Timely correction of relevant indicators based on assessment results and implementation of corresponding health education, such as psychological care and nutritional support, correction of high blood sugar, high blood pressure, etc.

Preoperative testing

Assist in improving preoperative examinations, including routine examinations and specialized examinations such as lung function, CT, cardiac color Doppler, etc.

Bowel preparation

1. Shorten preoperative fasting and drinking time: fasting for 4 hours before surgery, no drinking for 2 hours, oral administration of 10% glucose solution 200 ml or warm water 200 ml 2 hours before surgery, intravenous supplementation of 5% glucose sodium chloride solution 500ml before surgery; 2. No intestinal preparation.