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.