RELIEFCALL · ONE-PAGE SUMMARY

SPN-7704

Spine · Posterior lumbar fusion · open · prone · Dr. Luis Ortega

Surgery Oct 22, 2026, 8:00 AM · Arrival Oct 22, 2026, 6:00 AM · Age 70 · male · BMI 29.1 · ASA 3

ERAS pathway: ANESTHESIA REVIEW REQUIRED

Anesthesia consult: YES · Apfel 2 (Non-smoker, Postoperative opioids expected) · Red flag: No

Block: Erector spinae plane block

Counseling and shared expectations	GO	baseline
Prehabilitation	MODIFY	path_prehab_short
Carbohydrate drink	GO	baseline
Clear liquids	GO	baseline
Solid food fasting	GO	baseline
No long-acting sedative premedication	GO	baseline
Anticoagulant or antiplatelet plan	MODIFY	baseline
Acetaminophen	GO	baseline
NSAID or COX-2	GO	baseline
Dexamethasone	GO	baseline
Regional or neuraxial block	HOLD	safe_ac_deep
PONV prophylaxis	GO	baseline
Goal-directed fluids	GO	baseline
Normothermia	GO	baseline
Glucose control	GO	baseline
VTE prophylaxis	MODIFY	safe_ac_vte
Tranexamic acid	GO	baseline
Gabapentinoid	HOLD	safe_frailty_gaba
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
Delirium prevention bundle	GO	baseline