Table 1.
Summary recommendation of foundational vs supplemental Enhanced recovery after surgery (ERAS) guidelines.
| Preoperative | Patient optimization | |
| Smoking cessation | ||
| Diabetes diagnosis and management | ||
| Anemia diagnosis and management | ||
| Additional modifiable risk factors | ||
| Antibiotic prophylaxis | ||
| Patient education | ||
| Prolonged fasting avoidance | ||
| Intraoperative/Perioperative | Patient blood management | |
| Anemia correction | ||
| Minimizing blood loss | ||
| Restrictive transfusion thresholds | ||
| Standardized anesthetic protocol | ||
| Use of local infiltration analgesia in total knee arthroplasty | ||
| Maintaining normothermia | ||
| Perioperative fluid management | ||
| Perioperative surgical factors | ||
| Postoperative nausea and vomiting prophylaxis | ||
| Postoperative | Multimodal opioid-sparinganalgesia | |
| Antithrombotic prophylaxis | ||
| Early mobilization | ||
| Early postoperative nutrition | ||
| Criteria-based discharge | ||
| Continuous improvement and audit | ||
Bolding indicates foundational guidelines, or those that are supported by the strongest specialty-specific evidence.