Table 1.

ERAS protocol.

	Preoperative	Intraoperative	Postoperative
Education	- Verbal patient education on ERAS protocols
Nutrition/fluid management	- List of high carbohydrate foods for preoperative carbohydrate intake - Encouraged to consume clear liquids 2 h prior to surgery	- Goal directed fluid administration with avoidance of over-resuscitation - avoidance of NG tube placement	Day 0: IVF at 40 mL/hr, clear liquid diet, Ensure as needed Day 1: Advance to transitional diet Day 2: Maintain regular diet
Antibiotic prophylaxis/drains/catheters	- Preoperative chlorhexidine wash usually performed day prior to surgery	- Cefazolin +/- metronidazole (Gentamycin, Clindamycin +/- metronidazole for PCN allergy) - Limit drains & nasogastric tubes - maintain normothermia with blanket warmer application	- Day 1: postoperative foley catheter removal
Medications/ pain regimen	Preoperative bundle: - celecoxib 200 mg PO - acetaminophen 1000 mg PO - Gabapentin 600 mg PO - Heparin 5000 units SQ	- preoperative IV steroids and 5-HT3 inhibitor - intravenous anesthesia at discretion of anesthesiologist - TAP block after surgery close	- avoidance of PCA - multimodal pain regimen: Ibuprofen 600 mg PO Q6H Acetaminophen 1000 mg PO Q6H Hydromorphone 2 mg PO Q4H PRN Hydromorphone 0.4 mg IV Q3H PRN - LMWH prophylaxis
Activity			- Day 0: Sit on edge of bed or chair - Day 1: Out of bed with early ambulation - Day 2 to discharge: Encourage labs around hallway

h, hour; mg, milligrams; IV, intravenous; PO, per os; SQ, subcutaneous; TAP, transversus abdominis plane; LMWH, low molecular weight heparin.