RELIEFCALL · ONE-PAGE SUMMARY

ENT-2219

ENT / Head & Neck · Free flap · open · supine · Dr. Hannah Cho

Surgery Nov 4, 2026, 8:00 AM · Arrival Nov 4, 2026, 6:00 AM · Age 61 · male · BMI 26.5 · ASA 3

ERAS pathway: MODIFIED

Anesthesia consult: No · Apfel 1 (Postoperative opioids expected) · Red flag: No

Block: Multimodal analgesia. Avoid a block that hides flap perfusion.

Counseling and shared expectations	GO	baseline
Prehabilitation	GO	baseline
Smoking cessation	GO	baseline
Anemia correction	MODIFY	baseline
Carbohydrate drink	GO	baseline
Clear liquids	GO	baseline
Solid food fasting	GO	baseline
No long-acting sedative premedication	GO	baseline
Acetaminophen	GO	baseline
NSAID or COX-2	GO	baseline
Dexamethasone	GO	baseline
Regional or neuraxial block	GO	baseline
PONV prophylaxis	GO	baseline
Goal-directed fluids	MODIFY	path_flap_fluids
Normothermia	GO	baseline
Glucose control	GO	baseline
VTE prophylaxis	MODIFY	safe_cancer_vte
Airway and tracheostomy plan	GO	baseline
Early oral intake	GO	baseline
Early mobilization	GO	baseline
Urinary catheter removal	GO	baseline
Avoid routine drains	GO	baseline
Avoid routine nasogastric tube	GO	baseline
Flap monitoring	GO	baseline
Early tracheostomy care	GO	baseline