Skip to main content

Table 1 ENRICH-US intervention elements

From: Assessing effectiveness and implementation of a perioperative enhanced recovery protocol for children undergoing surgery: study protocol for a prospective, stepped-wedge, cluster, randomized, controlled clinical trial

Pre-operative

Intra-operative

Post-operative

Patient and family education and engagement

Venous thromboembolism prophylaxis

No intraperitoneal/perianastomotic drains

Patient Advocate Liaison (PAL)

Pre-incision antibiotic prophylaxis

Goal-directed/near-zero fluid therapy

Provider education

Standardized anesthetic protocol

Avoiding or early removal of urinary drains

Optimize medical comorbidities

Surgical procedure (i.e., minimally invasive techniques)

Prevention of ileus through gut stimulation

Avoid prolonger fasting

Prevention of nausea/vomiting

Opioid sparing pain regimen

Administer non-opioid analgesia

Avoiding nasogastric tubes

Early oral nutrition

 

Standardized hypothermia prevention

Early mobilization

  

Audit protocol compliance/outcomes