RELIEFCALL · ONE-PAGE SUMMARY

HPB-4410

HPB · Major liver resection · open · supine · Dr. Naomi Feldman

Surgery Nov 9, 2026, 7:30 AM · Arrival Nov 9, 2026, 5:30 AM · Age 64 · male · BMI 26.7 · ASA 3

ERAS pathway: MODIFIED

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

Block: Thoracic epidural for an open abdomen

Counseling and shared expectations	GO	baseline
Prehabilitation	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
Surgical approach	MODIFY	path_open
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_liver_fluids
Normothermia	GO	baseline
Glucose control	GO	baseline
VTE prophylaxis	MODIFY	safe_cancer_vte
Low-CVP liver technique	MODIFY	baseline
Early oral intake	GO	baseline
Early enteral feeding	GO	baseline
Early mobilization	GO	baseline
Urinary catheter removal	GO	baseline
Avoid routine drains	MODIFY	path_drains
Avoid routine nasogastric tube	GO	baseline