Colectomy

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.

safe_dm_insulin_carb Insulin-treated or type 1 diabetes: do not give the carbohydrate drink. Glucose-free clear liquid only, and check a glucose on arrival. ASA 2023 fasting guidance is for patients without diabetes.

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.

baseline Use the department insulin and oral-medication table. Check a glucose on arrival.

path_left_prep Left-sided colectomy or LAR: oral antibiotics plus mechanical bowel prep the day before.

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.

safe_dm_dex Dexamethasone may still be given once. Expect a higher glucose and treat it. Do not skip the check.

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.

safe_dm_glucose Check glucose on arrival and at least hourly in the operating room. Restart the department insulin scale. Last HbA1c 8.2%.

safe_cancer_vte Cancer surgery: extend pharmacologic VTE prophylaxis to 28 days when bleeding risk 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.