. Author manuscript; available in PMC: 2018 Jun 6.

Published in final edited form as: Gynecol Oncol. 2016 Mar 9;141(2):371–378. doi: 10.1016/j.ygyno.2016.02.019

Table 3.

Postoperative Gynecologic Oncology Enhanced Recovery Program (ERP): MD Anderson Cancer Center

Postop	Previous Practice	ERP-GYN
IVF therapy	IVFs 100 ml/hr	IVF 40 ml/hr
	KVO when tolerating diet	Saline lock (Tolerating 500 ml oral)
Analgesia	PCA vs. Epidural	Acetaminophen
		Ibuprofen
		Pregabalin
		Oxycodone
		Hydromorphone IV
Diet	Gradual advancement	Regular diet POD0
		Oral hydration
Foley Catheter	Surgeon discretion	Remove POD1
Ambulation	Patient/Physician discretion	Ambulate 8×/day
		All meals in chair
		Out of bed 8hr/day
Transfusion	Physician discretion	Restrictive
		Only for Hb<7

IVF=intravenous fluids; KVO=keep vein open; PCA=patient controlled analgesia; POD=postoperative day; Hb=hemoglobin