TABLE 1.
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