Table 2.

The SAGES colorectal surgery committee has identified three key areas to help further evolve erps and establish prior to SDD implementation

SDD protocol “KEY THREE”
(1) Assessing discharge readiness prior to return of gastrointestinal function
(a) I-FEED score
(b) Early mobilization and initiation of oral electrolyte beverages in the post operative recovery area
(2) Reducing postoperative pain improves efficacy of oral analgesia post-operatively
(a) Multi-modal, opioid sparing pain management
(b) Intra-operative use of opioid sparing drips such as dexmedetomidine hydrochloride, lidocaine, ketamine, propofol
(c) TAPP blocks, rectus sheath blocks
(d) Less painful specimen extraction incision locations (ex. Pfannenstiel)
(3) Established post-discharge remote monitoring plan
(a) Apps, telephone visits, video visits