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Table 1 Intraoperative and postoperative protocols description among studies on emergency general surgery

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 10 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 4 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 4 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

  1. n/d not described