Table 1.
Day | Protocol |
---|---|
Preoperative | Detailed discussion of nature of surgery and rehabilitation plan with both the patient and staff |
No bowel preparation | |
Intraoperative | Prophylactic antibiotics |
Induction of anesthesia (no epidural catheter) | |
Insertion of: | |
Urinary catheter | |
Nasogastric tube (removed intra-operatively at extubation) | |
Fluid maintenance; 1 L crystalloids | |
Surgery | Pain control by oral nonsteroidal anti-inflammatory drugs and/or oral hydrocodone |
Ambulation enforced for stable candidates | |
POD 1 | Patient reassessed and care plan discussed again |
Oral fluid intake | |
Fluid maintenance discontinued | |
POD 2 | Regular diet |
Removal of urinary catheter | |
POD 3 | Evaluation of patient status |
Discharge for stable candidates |
Abbreviation: POD, postoperative day.