Table 1.

Enhanced recovery after surgery protocol with pre-emptive pain control

	Preoperative	Intraoperative	Postoperative
Patient	Walk 1 mile a day Practice incentive spirometer Quit smoking 4 wk before surgery Stop drinking alcohol 2 wk before surgery Evaluation of steroids and blood thinners		Ambulate 3 × a day Sit in a chair for total of 6 h Incentive spirometer 10 × every hour Take around-the-clock pain medication
Nurse	Give pain medication Inject enoxaparin		Give pain medication Inject enoxaparin
Surgeon		Minimally invasive surgery Inject liposomal bupivacaine
Anesthesiologist		Total intravenous anesthetic Less CVL, Foley, and a-line IV antibiotics before incision Maintain normothermia Control postoperative nausea and vomiting Maintain euvolemia Give pain medication

CVL, Central venous line; a-line, arterial line; IV, intravenous.