Table 1 Enhanced recovery after orthopedic surgery pathway (ERAS)

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