715 Implementation of Enhanced Recovery After Surgery (ERAS) in Total Laryngectomies

Abstract Aim The Enhanced Recovery After Surgery (ERAS) protocol for total laryngectomies was first implemented in our tertiary head and neck centre from November 2019. It includes pre-operative carbohydrate loading an early swallow test which facilitates recommencement of oral intake to improve outcomes. Protocol adherence rate patient outcomes were measured determine the effectiveness benefits ERAS laryngectomy patients. Method 22 patients 2019 September 2021 enrolled onto protocol, 18 primary 3 salvage cases. An analysis respective cohorts performed such as complications length inpatient stay measured. Results 19 (86%) received successfully, while contraindicated due background diabetes. Early 59% Potential reasons delay stoma dehiscence or clinical suspicion neo-pharyngeal leak. cases deemed medically fit discharge within target timeframe 12–14 days whereas no set expected poor healing. Main complication leak followed by with 28% 11% respectively. Conclusion Limitations study include small sample size COVID-19 pandemic. Despite its infancy, has achieved good post-laryngectomy encouraging safe hospital. Future plans establishment Prehab Clinic application dissection