ERAS Flashcards
persistent post-surgical pain incidence is >30% after what 4 operations? (A, T, M, IH)
amputations, thoracotomy, mastectomy, inguinal herniorrhaphy
what is the Surgical Risk Calculator that estimates the chance of an unfavorable outcome? (NSQIP)
National Surgical Quality Improvement Program (NSQIP)
clears up to how many hours before induction in pts at low risk of aspiration?
2 hours
how many grams of preop CHO drink?
- at HS
- 2-3 hours pre-induction
- 100 grams
2. 50 grams
Preop CHO drink decreases what 4 things? (IR, H, F, PONV)
insulin resistance, hunger, fatigue, PONV
Abx prophylaxis:
- give how many hours before skin incision?
- d/c how many hours post op?
- d/c how many hours post op for cardiothoracic surgeries?
- 1 hour
- 24 hours
- 48 hours
timing of antithrombotics are critical for neuraxial blocks to avoid what? (EH)
epidural hematoma
are minidose SQ heparin doses a contraindication to neuraxial block or epidural catheter removal?
no
neuraxial blocks may be performed how many or more hours before heparin administration?
1 hour or more
if postop LMWH used, epidural catheter should be removed how many hours prior to first dose?
2 hours
if epidural catheter already present:
- it should be removed at least how many hours after dose of LMWH?
- subsequent LMWH dosing after catheter removal should not be for how many hours?
- 10 hours
2. 2 hours
neuraxial blocks blunt what 2 responses to surgery? (N, M)
neuroendocrine, metabolic
laparoscopic surgeries decrease what 2 things compared to open surgeries? (SSI, LOS)
surgical site infections, length of stay
epidural at what part of the spine is recommended for major abd and thoracic surgeries?
thoracic
are lumbar epidurals recommended for abd surgeries?
no