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Carbohydrate drink
• Patient will consume clear liquids including Gatorade 2 hours before arrival time
Health Assessment
• Includes baseline blood pressure and ideal body weight assessments.
Pre-Procedural Counseling
• A nurse will talk to you about the ERAS program and provide you a handout for reference.
• Expectations in regards to goals of care, same day discharge and pain management will be discussed.
• A pain psychologist will contact the patient by phone prior to surgery to discuss practical pain coping skills.
• Discussion will include basic exercise and nutrition information.
Pain Management
•Pain will be addressed using oral medications that target several different pain receptors.
Bowel Prep
• NO bowel preparation will be required prior to your procedure.
Management of Nausea
• Patients will be assessed for nausea risk factors and treated appropriately.

Antibiotic Prophylaxis
• Will be given within 1 hour of incision.
Tailored Anesthesia Care
• Evidence-based, best practice recommendations will be used throughout the surgery to ensure individualized blood pressure management, prevention of blood clots, careful IV fluid administration, and medication administration.
Warming Device
• Patients will have an air warming device applied to the upper body to keep them warm during surgery.

Postoperative Pain Management
• Pain will be addressed using oral medications that target several different pain receptors. The patient will also be discharged on an appropriate pain management regimen.
Foley Catheter
• The foley catheter should be removed on the same day as surgery. Patients must urinate a certain amount prior to discharge.
Post Discharge Follow up:
• The patient will receive a phone call from a nurse on post operative 1 or 2.
• The patient will be scheduled for a clinic visit 4 weeks after their procedure.
• A pain psychologist will call those patients who participated preoperatively.