From: Enhanced perioperative care in emergency general surgery: the WSES position paper
 | Study design | Patients | Number of patients | Preoperative | Intraoperative | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Counselling | preoperative resuscitation | PONV prophylaxis | Avoiding hypothermia | Fluid management | Analgesia | Monitoring of neuromuscolare blockade | Anesthesia depth monitoring | ||||
Burchart 2021 | Prospective observational study | Major abdominal surgery | 227 | n/d | n/d | Dexamethasone 16 mg + ondansetron 4 mg | Active warming (core temperature > 36 °C) | MAP guided fluid therapy (MAP > 65 mmHg) | TIVA + epidural or TAP block | TOF | n/d |
Ceresoli 2023 | Prospective observational study | Gastrointestinal surgery | 589 | n/d | N/A | Desamethasone 4 mg | Active warming with warm air | MAP guided fluid therapy (MAP > 65 mmHg) | Epidural or TAP block | TOF | Described |
Chndan 2021 | RCT | Perforated peptic ulcer | 42/43 | n/d | n/d | n/d | n/d | n/d | n/d | n/d | n/d |
Gonenc 2013 | RCT | Perforated peptic ulcer | 26/21 | n/d | n/d | Indicated but n/d | n/d | n/d | n/d | n/d | n/d |
Lohsiriwat 2014 | Observational case–control study | Obtructive colorectal | 20/40 | Preoperative counselling | n/d | Indicated but n/d | Active warming with warm air | n/d | Trocar site infiltration with bupiivacaine | n/d | n/d |
Lohsiriwat 2019 | Retrospective observational study | Colorectal | 46/14 | Preoperative counselling | n/d | Indicated but n/d | Active warming with warm air | Near zero balance | Balanced opioid sparing | n/d | n/d |
Masood 2021 | RCT | Perforated duodenal ulcer | 16/18 | n/d | n/d | n/d | n/d | n/d | n/d | n/d | n/d |
Mohsina 2018 | RCT | Perforated peptic ulcer | 49/50 | n/d | Cristalloids | n/d | n/d | n/d | Epidural anesthesia | n/d | n/d |
Moller 2011 | Prospective observational study | Perforated peptic ulcer | 117 | n/d | Early goal-directed managment | n/d | Active warming with warm air | Goal-directed fluid administration | n/d | n/d | n/d |
Nechai 2021 | RCT | Cholecystitis | 88/101 | Preoperative counselling | n/d | Metoclopramide 10Â mg at the end of surgery | n/d | n/d | Trocar site infiltration with bupivacaine | n/d | n/d |
Pranavi 2022 | RCT | Perforation peritonitis | 49/61 | n/d | n/d | Dexamethasone 4Â mg p | n/d | Modified GDFT based on CVP | Epidural anesthesia | n/d | n/d |
Pthrikar 2023 | RCT | Perforated duodenal ulcer | 19/22 | n/d | n/d | n/d | n/d | n/d | Epidural analgesia | n/d | n/d |
Purushotham 2021 | RCT | Trauma laparotomy | 30/30 | Preoperative counselling | n/d | n/d | Active warming with warm air | n/d | Epidural anesthesia | n/d | n/d |
Roulin 2014 | retrospective case control study | Colorectal | 28/63 | preoperative counselling | n/d | Indicated but n/d | Active warming with warm air | n/d | Epidural anesthesia | n/d | n/d |
Ruiz-Tovar 2021 | Prospective observational | Acute Appendicitis | 850 | n/d | n/d | Indicated but n/d | Active warming | Goal-directed fluid administration | Trocar site infiltration with ropivacaine | n/d | n/d |
Saurabh 2020 | RCT | Small bowel surgery | 35/35 | n/d | n/d | Desamethasone 4Â mg | n/d | Goal-directed fluid administration (CVP guided) | Epidural analgesia | n/d | n/d |
Shang 2018 | Observational case–control study | Obtructive colorectal | 318/318 | Preoperative counselling | n/d | 5-HT3 receptor antagonist + dexamethasone + haloperidol | Active warming with warm air | GDFT | n/d | n/d | n/d |
Sharma 2021 | RCT | Gastrointestinal surgery | 50/50 | Preoperative counselling | According to CVP | Indicated but n/d | Active warming | Restricted fluid strict fluid management | Neuroaxial anesthesia | n/d | n/d |
Tengberg 2017 | Prospective observational study | High-risk abdominal surgery | 600/600 | n/d | Stroke volume-guided | n/d | n/d | Stroke-volume-guided fluid therapy | TIVA + epidural | n/d | n/d |
Wisely 2016 | Retrospective case control study | Major abdominal surgery | 169/201 | n/d | n/d | n/d | n/d | n/d | n/d | n/d | n/d |