RELIEFCALL · ONE-PAGE SUMMARY

ORTHO-2082

Orthopedics · Total knee arthroplasty · open · supine · Dr. Owen Briggs

Surgery Nov 2, 2026, 9:00 AM · Arrival Nov 2, 2026, 7:00 AM · Age 82 · female · BMI 26.6 · ASA 3

ERAS pathway: MODIFIED

Anesthesia consult: No · Apfel 3 (Female, Non-smoker, Postoperative opioids expected) · Red flag: No

Block: Spinal or general anesthesia, periarticular infiltration, adductor canal block

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
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	GO	baseline
Normothermia	GO	baseline
Glucose control	GO	baseline
VTE prophylaxis	GO	baseline
Tranexamic acid	GO	baseline
Gabapentinoid	HOLD	safe_frailty_gaba
Early oral intake	GO	baseline
Early mobilization	GO	path_joint_day0
Urinary catheter removal	GO	baseline
Avoid routine drains	GO	baseline
Avoid routine nasogastric tube	GO	baseline
Delirium prevention bundle	GO	baseline