. 2018 Feb 12;9:2151458518754451. doi: 10.1177/2151458518754451

Table A1.

Reviewed TKA/THA Protocol Components, Including Anesthesia.

Preoperative management

Risk factor assessment

Anemia

Diabetes mellitus

Tobacco use/smoking

Obesity

Nutrition

Immune modulators

Opiates/drug abuse

Preoperative education

Preoperative bathing/decolonization

Preoperative VTE prophylaxis

Immediate preoperative management

Carbohydrate loading and reduced fasting^a

Multimodal preanesthesia medications^a

Multimodal postoperative nausea and vomiting prophylaxis^a

Intraoperative management

Drains

Antibiotic prophylaxis^a

Standard intraoperative anesthesia pathway^a

Tranexamic acid^a

Fluids/goal-directed fluid therapy^a

Glycemic control^a

Multimodal postoperative nausea and vomiting prophylaxis^a

Standard intraoperative analgesic pathway

Postoperative management

Standard postoperative multimodal analgesic regimen^a

Glycemic control^a

Early mobilization

Continuous passive motion

Extended duration VTE prophylaxis

Early oral alimentation and enhanced nutrition

Discharge planning / discharge criteria

Abbreviations: THA, total hip arthroplasty; TKA, total knee arthroplasty; VTE, venous thromboembolism.

^aProtocol component is reported in separate, anesthesia-focused, article.