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Q1: Principles (2 min)
"What are the key principles of ERAS?"
- Reduce surgical stress response
- Maintain organ function
- Promote early recovery
- Multimodal: pre-op, intra-op, post-op components
- Evidence-based: each component has evidence
Q2: Pre-op components (2 min)
"What pre-operative measures are part of ERAS?"
- Clear fluids until 2h, solids until 6h (not midnight NBM)
- Carbohydrate loading drink (reduce insulin resistance)
- No routine mechanical bowel prep
- Patient education
- No pre-medication (sedatives delay recovery)
Q3: Post-op components (3 min)
"What post-operative measures promote early recovery?"
- Early feeding within 24h (gut recovery)
- Early mobilisation day 0 (reduce DVT, pneumonia, deconditioning)
- Opioid-sparing analgesia (regional, paracetamol, NSAIDs)
- Remove NG tubes/drains/catheters early
- Goal-directed fluid therapy (avoid overload)
Q4: Outcomes (2 min)
"What outcomes does ERAS improve?"
- Length of stay reduced 2-3 days
- Complications reduced ~50%
- Cost reduced
- No increase in readmission
- Patient satisfaction improved