Pre-operative | Intra-operative | Post-operative |
---|---|---|
Patient and family education and engagement | Venous thromboembolism prophylaxis | No intraperitoneal/perianastomotic drains |
Patient Advocate Liaison (PAL) | Pre-incision antibiotic prophylaxis | Goal-directed/near-zero fluid therapy |
Provider education | Standardized anesthetic protocol | Avoiding or early removal of urinary drains |
Optimize medical comorbidities | Surgical procedure (i.e., minimally invasive techniques) | Prevention of ileus through gut stimulation |
Avoid prolonger fasting | Prevention of nausea/vomiting | Opioid sparing pain regimen |
Administer non-opioid analgesia | Avoiding nasogastric tubes | Early oral nutrition |
 | Standardized hypothermia prevention | Early mobilization |
 |  | Audit protocol compliance/outcomes |