RELIEFCALL · ONE-PAGE SUMMARY

GYN-1046

Gyn / Gyn-Onc · Hysterectomy · robotic · steep trendelenburg · Dr. Priya Shah

Surgery Nov 12, 2026, 7:30 AM · Arrival Nov 12, 2026, 5:30 AM · Age 52 · female · BMI 46 · ASA 3

ERAS pathway: ANESTHESIA REVIEW REQUIRED

Anesthesia consult: YES · Apfel 3 (Female, Non-smoker, Postoperative opioids expected) · Red flag: YES

ANESTHESIA CONSULT REQUIRED before scheduling.

Block: TAP block or wound infiltration

Counseling and shared expectations	GO	baseline
Prehabilitation	GO	baseline
Carbohydrate drink	HOLD	safe_glp1_high_carb, safe_red_flag_carb
Clear liquids	MODIFY	safe_glp1_high_fast, safe_red_flag_fast
Solid food fasting	MODIFY	safe_glp1_high_fast, safe_red_flag_fast
No long-acting sedative premedication	GO	baseline
GLP-1 receptor agonist plan	MODIFY	path_glp1_high
Bowel preparation	HOLD	path_no_prep
Surgical approach	GO	path_mis
Acetaminophen	GO	baseline
NSAID or COX-2	GO	baseline
Dexamethasone	GO	baseline
Regional or neuraxial block	GO	baseline
PONV prophylaxis	MODIFY	safe_ponv
Goal-directed fluids	MODIFY	safe_trend_fluids
Normothermia	GO	baseline
Glucose control	GO	baseline
VTE prophylaxis	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