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. 2022 Mar 16;54(1):71–79. doi: 10.5114/ait.2022.113961

TABLE 1.

Summary of perioperative stages of ERAS protocols from different institutions, highlighting drug use and early ambulation

Protocol Preoperative medications Intraoperative medications Postoperative medications
Rush University Medical Center [3] 1,000 mg IV acetaminophen 600 mg dose of gabapentin OR 150 mg dose of pregabalin
10 mg cyclobenzaprine
10 mg oxycodone
Standard propofol induction and maintenance with inhaled anaesthesia Ketamine use at induction Dexamethasone
Fentanyl Methadone Lidocaine Acetaminophen
NSAID
Gabapentin and pregabalin Tramadol (as needed)
Weill Cornell [4, 5] Acetaminophen Gabapentin Antiemetic prophylaxis Total intravenous anaesthesia (TIVA) Ketorolac
Lidocaine
Dual antiemetic prophylactic therapy
Acetaminophen Nonsteroidal anti-inflammatory drugs Two 50 mg tramadol doses or 5 mg oxycodone based on NRS pain score
University of Western Ontario [9] Pregabalin Gabapentin
0.2 mg kg-1 methadone
Selective COX-2 inhibitors Ketamine administration Either bolus (0.2-1 mg kg-1) or infusion (1–4 µg kg-1 min-1) Tramadol
Analgesics mixture
N/A
Perelman School of Medicine, University of Pennsylvania [2, 12] 600 mg gabapentin NSAIDs
Opioids
Anti-convulsants Other analgesia
975 mg, q 6 h of acetaminophen Diazepam PO
Cyclobenzaprine PO Ketorolac PO
Inpatient physical therapy, wound care, and gum chewing
(1 piece for 3 minutes daily)
The University of Texas [10] 1000 mg acetaminophen
300 mg tramadol 3.75-150 mg pregabalin OR
100-300 mg gabapentin
TIVA
Lidocaine Ketamine
IV dexmedetomidine infusion IV dexamethasone 10 mg q 6 h
Lidocaine or other local anaesthetics TXA use (1 g bolus over 30 min followed by 0.5 g h-1 infusion)
Early ambulation, early oral intake (POD 1), DVT prophylaxis,
and physical therapy

NSAID – nonsteroidal anti-inflammatory drug, TIVA – total intravenous anaesthesia, IV – intravenous, TXA – tranexamic acid, DVT – deep vein thrombosis