Cleft Palate Repair ERAS

Enhanced Recovery After Surgery (ERAS) pathways promote an evidence based, multidisciplinary approach to patient care aimed at facilitating faster recovery from surgery, decreasing hospital length of stay, and minimizing post-operative complications. From scheduling through discharge, all phases of perioperative care are incorporated into ERAS pathways.  

ERAS Pathway: 

• Cleft palate repair - prior to surgery
• Cleft palate repair - perioperative
• Cleft palate repair - inpatient 

Additional tools associated with this ERAS: 

• Post-operative palate diet recommendations 
• ERAS overview handout
• ERAS overview handout-Spanish

Inclusion criteria

Inclusion:  

• Patient scheduled for cleft palate repair 

Committee members involved in the development: 

• S. Jiang MD | Plastic and Reconstructive Surgery | Committee co-chair 
• R. Jacobs MD | Anesthesiology | Committee co-chair 
• M. Tracy CCRC | Clinical Trials Coordinator II for Plastic and Reconstructive Surgery | Committee member 
• S. Wood MSN, RN, CPN| Nursing Director RR/SDS/PACU | Committee member 
• A. Johnston MSN, RN, APRN | Plastic and Reconstructive Surgery | Committee member 
• L. Gilroy BSN, RN | Perioperative Pain Management Staff Nurse RR/SDS/PACU | Committee member 
• K. Kerwin RN, BSN, CPAN | RR/SDS/PACU Education Coordinator | Committee member 
• S. Orpin BSN, RN | Perioperative Pain Management Staff Nurse | Committee member 
• D. Millspaugh MD | Anesthesiology & Director of Comprehensive Pain Management | Committee member 
• H. Miles RN, BSN, CPN | Perioperative Pain Management Staff Nurse | Committee member 
• B. Moody RN, CPN | 2 Henson Staff Nurse | Committee member 
• M. Beisly RN, BSN, CPN | 2 Henson Education Coordinator | Committee member 
• K. Shedd PA-C, MSPAS | Plastic and Reconstructive Surgery | Committee member 
• C. Thompson PharmD, BCPS | QI Consultant-Licensed | Committee member 
• E. Lennon PA-C, MMSPA, MPH | Plastic and Reconstructive Surgery | Committee member 
• L. Edmundson PhD, RN, NE-BC | Pain Management Nurse Manager | Committee member 
• J. Michael DO | Evidence Based Practice Medical Director & Emergency Medicine | Committee member 
• J. Bartlett PhD, RN, | Evidence Based Practice Director | Committee member 

Publication dates: 

• Finalized/Revision date: August 2019; June 2020; November 2022 
• Next expected revision date: November 2025

Concerns with content:

If you have any questions regarding this content, or identify a broken link, please email evidencebasedpractice@cmh.edu. 

These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.