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The enhanced recovery after surgery (ERAS) protocol is a new approach to preparing for surgery and recovering that can help you heal faster, avoid complications and rely less on narcotic pain killers.
Part of the ERAS protocol is drinking nutritional supplements up to the day of your surgery. You’ll also start taking nonnarcotic pain medication to jump-start your pain control response.
Medical studies have shown that by taking certain steps before and after your surgery — guided by a team of caregivers each with their own specialties — can help you return home faster and get back to the post-surgery life you’ve been hoping for.
If you currently take a blood thinner, anti-platelet or anticoagulant medication, you must contact the prescribing provider and your surgeon for instructions on when to stop the medication before surgery. These medicines may include aspirin, Plavix (clopidogrel), Coumadin (warfarin), Eliquis (apixaban) or Xarelto (rivaroxaban).
Stop all decongestants, nasal sprays, Alka-Seltzer, Pepto Bismol, vitamins, diet pills and herbal supplements.
Stop taking nonsteroidal anti-inflammatory medications. This includes naproxen (Aleve), ibuprofen (Advil, Motrin), meloxicam (Mobic), diclofenac oral or gel, and celecoxib (Celebrex).
If someone from pre-admission testing has not yet called you, call (502) 446-8660.
Start using Bactroban Nasal ointment (mupirocin) once in the morning and once at night. A prescription for this medication will be sent to your pharmacy ahead of your surgery date. Put a pea-size amount on a cotton swab and apply it to the inside of each nostril. (If redness, irritation, medication allergy or intolerance occurs, notify your surgeon and stop using the ointment.)
Continue using Bactroban Nasal ointment (mupirocin), once in the morning and once at night.
Stop shaving on or around your surgical site.
Shower with chlorhexidine gluconate (CHG) soap using a clean washcloth. Wash with your regular soap first and then with the CHG, leaving the CHG on your skin for one minute before rinsing with warm water. Pat dry with a clean towel. Keep the CHG soap out of your eyes, ears, nose and mouth, and away from your genital area. Stop using CHG if you have an allergic reaction. If this happens, switch to an antibacterial soap, such as Dial. Dry yourself with a clean towel.
Shower with CHG using a clean washcloth. Dry yourself with a clean towel.
Shower with CHG cleanser using a clean washcloth. Dry yourself with a clean towel.
Finish using Bactroban Nasal ointment (mupirocin), once in the morning and once at night.
Put on clean pajamas and sleep on clean sheets.
Follow your medication instructions.
Remove all jewelry (including wedding rings), and leave them at home.
Follow your medication instructions as discussed with your pre-admission testing nurse.
Two hours before your scheduled surgery time, drink your last pre-surgery nutrition drink.
Do not drink anything within two hours before your surgery time, including water and coffee.
Shower with CHG right before leaving for the hospital, using a clean washcloth and drying off with a clean towel.
Do not use mascara, makeup, lotion, powder, perfume, deodorant or after-shave.
Bring your continuous positive airway pressure (CPAP) machine, inhalers, glasses (no contacts), dentures and hearing aids, if you use them.
Bring a picture ID, your insurance card and copayment, if you have one.
More patients choose Norton Orthopedic Institute for hip or knee replacements and other orthopedic procedures than any other health care provider in Louisville or Southern Indiana.
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