Pre-op

  • Scop patch-if high risk

  • Epidural if specified by surgeon

      • Thoracic epidural placed preop at level T9

      • Standard ERAS infusion of 0.0625% bupivacaine

      • Infusion at 8-10 ml/hr

Intra-op

  • TAP Blocks

PACU

  • Oxycodone 5mg PRN

  • IV opioids only for patients not tolerating PO and/or rescue of severe pain

  • No standing order for Phenergan

  • Epidural management:

      • Standard ERAS infusion of 0.0625% bupivacaine

      • Infusion at 8-10 ml/hr