Laparoscopic cholecystectomy

baseline Review the pathway, the fasting clock, pain plan, and who to call.

baseline Start prehabilitation when there are at least 2–4 weeks before surgery: walking, breathing, and protein.

baseline One carbohydrate drink, about 400 mL, finished by the stop-drinks time. ASA 2023 supports this in healthy adults.

baseline Clear liquids until 2 hours before anesthesia. The patient sheet uses the earlier of that time and 2 hours before arrival.

baseline Stop solids 6 hours before surgery. Stop fried or fatty meals 8 hours before.

baseline Do not give a long-acting sedative or benzodiazepine premedication.

path_mis Minimally invasive approach is in the plan. That matches the ERAS preference.

baseline Scheduled acetaminophen unless the liver plan says otherwise.

baseline Give a scheduled NSAID or COX-2 unless a safety rule holds it. Do not tell every patient to stop NSAIDs for 7 days.

baseline Single-dose dexamethasone for analgesia and nausea, unless a rule modifies it.

baseline Use the procedure-specific block.

TAP block or wound infiltration

baseline Prophylaxis follows the Apfel score and the Fourth Consensus Guidelines.

Apfel 2 (Non-smoker, Postoperative opioids expected). Give 2 agents: dexamethasone and ondansetron.

baseline Aim for euvolemia. Avoid both liberal fluid and under-resuscitation.

baseline Active warming. Keep core temperature at or above 36°C.

baseline Treat hyperglycemia. Non-diabetic patients need a check only when clinically indicated.

baseline Mechanical prophylaxis plus pharmacologic prophylaxis once hemostasis allows.

baseline Start oral intake as soon as the patient is awake, unless a surgical rule restricts it.

baseline Mobilize the day of surgery or on postoperative day 1.

baseline Remove the urinary catheter on postoperative day 1 unless the operation requires it to stay.

baseline Do not place a drain by routine.

baseline Do not leave a nasogastric tube in by routine.