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. 2023 Jan 3;15(3):671–678. doi: 10.1111/os.13623

TABLE 1.

Recommended interventions for the perioperative care of hip and knee replacement studies by ERAS Society

Number Item Evidence level
1 Preoperative information, education and counseling Low
2 Preoperative optimization Smoking: High; Alcohol: Low; Anemia: High
3 Preoperative fasting Moderate
4 Standard anesthetic protocol General anesthesia: moderate; neuraxial techniques: Moderate
5 Use of local anesthetics for infiltration analgesia and nerve blocks LIA in knee replacement: High
6 Postoperative nausea and vomiting Moderate
7 Prevention of perioperative blood loss Tranexamic acid: High
8 Perioperative oral analgesia Paracetamol: Moderate; NSAIDS: High
9 Maintaining normothermia High
10 Antimicrobial prophylaxis Moderate
11 Antithrombotic prophylaxis treatment Moderate
12 Perioperative surgical factors High
13 Perioperative fluid management Fluid balance: Moderate
14 Postoperative nutritional care Low
15 Early mobilization Moderate
16 Criteria‐based discharge Low
17 Continuous improvement and audit Low

Abbreviations: LIA: local infiltration analgesia; NSAIDs: non‐steroidal anti‐inflammatory drugs.