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Table 1 Enhanced recovery after orthopedic surgery pathway (ERAS)

From: Enhanced recovery after surgery (ERAS) in elective intertrochanteric fracture patients result in reduced length of hospital stay (LOS) without compromising functional outcome

Preoperative
Pre-operative educational program
Oral multimodal analgesia (celebrex)
Opioid-free anesthesia: short-acting spinal preferred (mepivacaine)
Intraoperative
Intravenous dexamethasone
2 L of lactated Ringer’s
Tranexamic acid
Postoperative
Early mobilization: physical therapy session on the day of surgery
Opioids avoiding: scheduled NSAIDs prn
Nausea and vomiting control
Supported discharge