Enhanced recovery after surgery in liver transplantation: Challenges and feasibility

Table 3 Experimental ''fast trans'' protocol items

Preoperative	Brustia et al[8]	Xu et al[9]	Rao et al[7]
1 Outpatient counseling and information	√	√	√
2 Preoperative carbohydrate loading	√	√	√
3 Absence of preanesthetic medication (anxiolytic)	√
Intraoperative
4 Antimicrobial prophylaxis and skin preparation	√
5 Prevention of intraoperative hypothermia	√	√
6 Incision	√
7 Adapted IV filling	√	√	√
8 Temporary portocaval anastomosis	√
9 No prophylactic nasogastric intubation	√		√
10 No prophylactic abdominal drainage	√		√
11 Prevention of postoperative nausea and vomiting	√
12 Antithrombotic prophylaxis and/oranti-aggregation	√	√
13 Early extubation (< 6 h after the endof lt)	√	√	√
Postoperative
14 Early mobilization (POD1)	√	√	√
15 Patient-controlled analgesia	√	√
16 Gastric probe removal POD1	√	√
17 Clear liquid per OS POD1	√	√	√
18 Enteral feeding per OS POD1	√	√	√
19 Stop IV fluids POD1	√	√
20 Per OS analgesia (POD2)	√	√
21 Abdominal drain removal POD2	√
22 Urinary probe removal POD2	√	√	√
23 Stop IV analgesia POD3	√	√
24 Independent mobilization POD3	√	√	√
25 Daily revision of discharge criteria	√	√	√
26 Audit	√	√	√

ICU: Intensive care unit; IV: Intravenous; LT: Liver transplantation; POD: Post-operative day; PONV: Post-operative nausea and vomiting.