Ward work & theatre careFree in the app
ERAS and antibiotic prophylaxis
Faster recovery after gynae surgery.
Source: ERAS Society 2019 · ACOG PB 195ERAS
- Counselling and prehabilitation; stop smoking.
- No routine bowel preparation; carbohydrate drink.
- Minimal access surgery where possible.
- Keep her warm and euvolaemic; prevent nausea.
- Opioid-sparing analgesia; no routine drains or NG tubes.
- Catheter out within 24 hours; eat and walk within 24 hours.
Antibiotic prophylaxis for hysterectomy
CefazolinStandard2 g IV (3 g if over 120 kg) within 60 minutes before incision.⚠ Repeat at 4 hours or if blood loss over 1500 ml.
Clindamycin + gentamicinPenicillin anaphylaxis900 mg + 5 mg/kg IV.⚠ Or follow local policy (e.g. co-amoxiclav, cefuroxime + metronidazole).
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.