Fast Track Liver Resection: The Effect of a Comprehensive Care Package and Analgesia with Single Dose Intrathecal Morphine with Gabapentin or Continuous Epidural Analgesia

Table 1

Nursing care plan for patients managed with intrathecal morphine.

Day of Surgery	Admit to surgical ward
	Normal medications continued (excluding anticoagulants)
	Nil by mouth 4 hours before surgery
	Below knee TED stockings fitted
	Liquid/light diet ad libertum on waking
Postoperative Day 1	Check full blood count, electrolytes, liver function, INR
	Remove arterial line and calf compression device
	Luer central venous line
	Remove urinary catheter
	Unrestricted diet ad libertum
	Normal medications
	Mobilize as able
Postoperative Day 2	Check full blood count, electrolytes, liver function, INR
	Unrestricted diet ad libertum
	Mobilize as able
Postoperative Day 3	Check full blood count, electrolytes, liver function, INR
	First surgical dressing change
	Unrestricted diet ad libertum
	Mobilize as able
Postoperative Day 4	Check full blood count, electrolytes, liver function, INR
	Unrestricted diet ad libertum
	Mobilize as able
	Review discharge criteria
Postoperative Day 5	Check full blood count, electrolytes, liver function, INR
	Unrestricted diet ad libertum
	Remove central venous line
	Discharge