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Preoperative Guidelines for Medications Prior to Surgery

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1. Preoperative Guidelines for Medications Prior to Surgery

Preoperative Guidelines for Medications Prior to Surgery Preoperative Guidelines for Medications Prior to Surgery Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous (...) Abuse Cancer Administration 4 Preoperative Guidelines for Medications Prior to Surgery Preoperative Guidelines for Medications Prior to Surgery Aka: Preoperative Guidelines for Medications Prior to Surgery , Preoperative Fasting Recommendation , Nothing by Mouth Prior to Surgery Guideline , Perioperative NPO Guidelines , Perioperative Medication Guidelines , Medication Management in the Perioperative Period , Medications to Avoid Prior to Surgery II. Protocol: Food and Liquids Rule: 2, 4, 6, 8 rule

2018 FP Notebook

2. Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration (Full text)

of these guidelines, Internet-based comments, letters, and editorials are all informally evaluated and discussed during the formulation of guideline recommendations. When warranted, the Task Force may add educational information or cautionary notes based on this information. Guidelines Preoperative Assessment A preoperative assessment includes a review of medical records, a physical examination, and a patient survey or interview. No controlled trials were found that address the impact of conducting a review (...) that verification of their compliance with the fasting requirements should be assessed at the time of the procedure. Recommendations for Preoperative Assessment Perform a review of pertinent medical records, a physical examination, and patient survey or interview as part of the preoperative evaluation. The history, examination, and interview should include assessment of ASA physical status, age, sex, type of surgery, and potential for difficult airway management as well as consideration of gastroesophageal

2017 American Society of Anesthesiologists PubMed

3. Cefazolin for Preoperative Prophylaxis in Overweight Adults Having Any Type of Surgery: Clinical Effectiveness and Guidelines

Cefazolin for Preoperative Prophylaxis in Overweight Adults Having Any Type of Surgery: Clinical Effectiveness and Guidelines TITLE: Cefazolin for Preoperative Prophylaxis in Overweight Adults Having Any Type of Surgery: Clinical Effectiveness and Guidelines DATE: 03 July 2013 RESEARCH QUESTIONS 1. What is the clinical evidence surrounding the effectiveness of using 2 g of cefazolin as preoperative prophylaxis in adult patients weighing = 70 kg having any type of surgery? 2. What (...) are the guidelines surrounding the use of 2 g of cefazolin as preoperative prophylaxis in adult patients weighing = 70 kg having any type of surgery? KEY MESSAGE Three non-randomized studies and one evidence-based guideline were identified regarding the use cefazolin 2 g for preoperative prophylaxis in adult patients weighing = 70 kg. METHODS A limited literature search was conducted on key resources including PubMed, The Cochrane Library (2013, Issue 6), University of York Centre for Reviews and Dissemination

2013 Canadian Agency for Drugs and Technologies in Health - Rapid Review

4. Routine preoperative testing in adults undergoing elective non-cardiothoracic surgery

; Diagnostic Tests, Routine; Practice Guideline NLM Classification: WO 179 Language: English Format: Adobe® PDF™ (A4) Legal depot: D/2016/10.273/104 ISSN: 2466-6459 Copyright: KCE reports are published under a “by/nc/nd” Creative Commons Licence http://kce.fgov.be/content/about-copyrights-for-kce-publications. How to refer to this document? Vlayen J, Benahmed N, Robays J. Routine preoperative testing in adults undergoing elective non-cardiothoracic surgery. Good Clinical Practice (GCP) Brussels: Belgian (...) benefit 60 3.16.3 Evidence for prognostic value 61 4 IMPLEMENTATION AND UPDATING OF THE GUIDELINE 62 4.1 IMPLEMENTATION 62 4.1.1 Multidisciplinary approach 62 4.1.2 Patient-centered care 62 4.1.3 Barriers and facilitators for implementation of this guideline 62 4.1.4 Actors of the implementation of this guideline 63 4.2 MONITORING THE QUALITY OF CARE 63 4.3 GUIDELINE UPDATE 63 KCE Report 280 Routine preoperative testing 5 ? REFERENCES 64 LIST OF TABLES Table 1 – ASA classification 10 Table 2 – Surgery

2017 Belgian Health Care Knowledge Centre

5. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines. J Vasc Surg . 2009 ; 50 : S2–S49 | | | | | for surgeons and physicians who are involved in the preoperative, operative, and postoperative care of patients with AAAs. This document provides recommendations for evaluating the patient (including risk of aneurysm rupture and associated medical comorbidities), guidelines for intervention, intraoperative strategies, perioperative care, long-term follow-up (...) . Table of Contents SUMMARY OF GUIDELINES FOR THE CARE OF PATIENTS WITH AN ABDOMINAL AORTIC ANEURYSM 4 DEFINITION OF THE PROBLEM 12 Purpose of these guidelines 12 Methodology and evidence 12 Literature search and evidence summary 12 GENERAL APPROACH TO THE PATIENT 12 History and risk factors for abdominal aortic aneurysms 12 Physical examination 17 Assessment of medical comorbidities 17 Preoperative evaluation of cardiac risk 17 Preoperative coronary revascularization 18 Perioperative medical

2018 Society for Vascular Surgery

6. The Association of Coloproctology of Great Britain and Ireland Consensus Guidelines in Surgery for Inflammatory Bowel Disease (Full text)

Group of the Association of Coloproctology of Great Britain and Ireland (ACPGBI) have therefore commissioned a set of guidelines focusing specifically on surgery for adults and adolescents with IBD. The guidelines are procedure‐based and are intended to dovetail with the BSG's comprehensive medically focused guidelines. The primary objective here is to provide detailed evidence‐based guidelines on the surgical management of IBD for the target audience of colorectal surgeons practising in Great (...) %) Statement 1.9 Optimiszation of the patient prior to IBD surgery requires resolution of sepsis, ensuring adequate nutritional status and reduction or cessation of medications, including steroids and biological therapy, where feasible. Level of evidence: III Grade of recommendation: C Consensus: 88.2% (SA 58.8%, A 29.4%) Risk of venous thromboembolism in patients requiring surgery for IBD Venous thromboembolism is a well‐recognized complication in patients with active IBD , with such patients having

2018 Association of Coloproctology of Great Britain and Ireland PubMed

7. CCS guidelines on perioperative cardiac risk assessment and management for patients undergoing noncardiac surgery

a variety of medical specialists who belong to the Canadian Anesthesiologists' Society, Canadian Association of General Surgeons, Canadian Association of Thoracic Surgeons, Canadian Orthopaedic Association, Canadian Society of Internal Medicine, and Canadian Society for Vascular Surgery; members are listed in Appendix 1 . Guidelines Development The primary panel established the scope of the guidelines (ie, 4 themes: preoperative cardiac risk assessment, perioperative cardiac risk modification (...) ): history of coronary artery disease, cerebrovascular disease, congestive heart failure, preoperative insulin use, preoperative creatinine > 177 μmol/L, and high-risk surgery (ie, intraperitoneal, intrathoracic, or suprainguinal vascular surgery). ∗∗ Shared-care management refers to a multidisciplinary approach to inpatient postoperative care; this includes the surgeon and a medical specialist (eg, internist, cardiologist, gerontologist), who will help with perioperative monitoring and management

2016 Canadian Cardiovascular Society

8. AACE/ACE/AME Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid Nodules

AACE/ACE/AME Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid Nodules ENDOCRINE PRACTICE Vol 22 (Suppl 1) May 2016 1 AACE/ACE/AME Guidelines AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS, AMERICAN COLLEGE OF ENDOCRINOLOGY, AND ASSOCIAZIONE MEDICI ENDOCRINOLOGI MEDICAL GUIDELINES FOR CLINICAL PRACTICE FOR THE DIAGNOSIS AND MANAGEMENT OF THYROID NODULES – 2016 UPDATE APPENDIX Hossein Gharib, MD, MACP , MACE 1 , Co-Chair; Enrico Papini, MD, FACE 2 , Co-Chair (...) ; Jeffrey R. Garber, MD, FACP , FACE 3 ; Daniel S. Duick, MD, FACP , FACE 4 ; R. Mack Harrell, MD, FACP , FACE, ECNU 5 ; Laszlo Hegedüs, MD 6 ; Ralf Paschke, MD 7 ; Roberto Valcavi, MD, FACE 8 ; Paolo Vitti, MD 9 ; on behalf of the AACE/ACE/AME Task Force on Thyroid Nodules* American Association of Clinical Endocrinologists (AACE), American College of Endocrinology (ACE) and Associazione Medici Endocrinologi (AME) Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid

2016 American Association of Clinical Endocrinologists

9. Guidelines for the Perioperative Care of Patients Selected for Day Care Surgery

Guidelines for the Perioperative Care of Patients Selected for Day Care Surgery PS15 2018 Page 1 PS15 - 2018 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines for the Perioperative Care of Patients Selected for Day Stay Procedures 1. INTRODUCTION The ultimate aim of facilities performing Day Stay Procedures (DSP) is to discharge their patients on the same day as their admission ideally back to their normal place of residence. Enhanced outcomes are dependent on careful (...) These guidelines are intended to apply: ? in all healthcare facilities that provide procedural/diagnostic services where patients are discharged on the same day as having received anaesthesia and/or sedation. ? to all patients being discharged within 24 hours of a procedure whether this be in a standalone day procedure facility or an inpatient facility. ? to all anaesthetists and other medical practitioners who provide anaesthesia services to patients in such facilities. PS09 Guidelines on Sedation

2016 Australian and New Zealand College of Anaesthetists

10. Guidelines for the Perioperative Care of Patients Selected for Day Care Surgery Background Paper

” or “Ambulatory surgery” even though they are part of an operating list that is clearly a “day surgery” list (e.g. endoscopy). As a result of medical comorbidities, some patients may be admitted the day prior to their planned procedure. In these cases serious consideration should be given to the timing of their discharge. Practitioners discharging such patients must have mechanisms in place to ensure that subsequent complications resulting from either anaesthesia, the procedure performed or the patient’s (...) Guidelines for the Perioperative Care of Patients Selected for Day Care Surgery Background Paper PS15 BP 2018 Page 1 PS15 BP 2018 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines for the Perioperative Care of Patients Selected for Day Stay Procedures Background Paper 1. PURPOSE OF REVIEW PS15 Recommendations for the Perioperative Care of Patients Selected for Day Surgery was last revised in 2006 and republished in 2010. Although the document was due for review, the time

2016 Australian and New Zealand College of Anaesthetists

11. Preoperative Guidelines for Medications Prior to Surgery

Preoperative Guidelines for Medications Prior to Surgery Preoperative Guidelines for Medications Prior to Surgery Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous (...) Abuse Cancer Administration 4 Preoperative Guidelines for Medications Prior to Surgery Preoperative Guidelines for Medications Prior to Surgery Aka: Preoperative Guidelines for Medications Prior to Surgery , Preoperative Fasting Recommendation , Nothing by Mouth Prior to Surgery Guideline , Perioperative NPO Guidelines , Perioperative Medication Guidelines , Medication Management in the Perioperative Period , Medications to Avoid Prior to Surgery II. Protocol: Food and Liquids Rule: 2, 4, 6, 8 rule

2015 FP Notebook

12. Perioperative Beta Blockade in Noncardiac Surgery: A Systematic Review for the 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery (Full text)

result (extensive wall-motion abnormalities, strong evidence of left main or severe 3-vessel CAD) Major vascular (100%) procedures 0% 87% males, mean age 67.5 y, 100% with known CAD, 52% with prior MI, 32% with current angina Raby et al. (1999) 10071990 26 Pts with preoperative myocar dial ischemia detected by 24-h ECG monitoring performed within 1–12 d before surgery Baseline ST-T abnormalities on ECG that preclude accurate interpretation of ECG monitoring for ischemia Major vascular (100 (...) ; and TIA, transient ischemic attack. Table 2. Perioperative Beta-Blocker Regimens, Duration of Follow-Up, and Comparison Arms in Included Studies Study (Year ) Beta-Blocker Type Perioperative Beta-Blocker Regimen Preoperative Beta-Blocker Dose-Titration Duration of Postoperative Treatment Control Arm Routine Surveillance for Postoperative MI Duration of Postoperative Follow-Up Randomized Controlled Trials Mangano et al. (1996) 8929262 Atenolol IV atenolol 5–10 mg immediately prior to surgery, and oral

2014 American Heart Association PubMed

13. Perioperative Beta Blockade in Noncardiac Surgery: A Systematic Review for the 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery

References 34 Downloaded From: http://content.onlinejacc.org/ on 08/05/2014MANUSCRIPT ACCEPTED ACCEPTED MANUSCRIPT Wijeysundera DN, et al. 2014 ACC/AHA Perioperative Guideline Systematic Review Report Page 3 of 36 Abstract OBJECTIVE: To review the literature systematically to determine whether initiation of beta blockade within 45 days prior to noncardiac surgery reduces 30-day cardiovascular morbidity and mortality rates. METHODS: PubMed (up to April 2013), Embase (up to April 2013), Cochrane Central (...) , hypotension, and bradycardia. Without the controversial DECREASE studies, there are insufficient data on beta blockade started 2 or more days prior to surgery. Multicenter RCTs are needed to address this knowledge gap. Downloaded From: http://content.onlinejacc.org/ on 08/05/2014MANUSCRIPT ACCEPTED ACCEPTED MANUSCRIPT Wijeysundera DN, et al. 2014 ACC/AHA Perioperative Guideline Systematic Review Report Page 4 of 36 Introduction Perioperative cardiac complications are an important concern for the 230

2014 Society for Cardiovascular Angiography and Interventions

14. Clinical Appropriateness Guidelines: Radiation Oncology Brachytherapy, intensity modulated radiation therapy (IMRT), stereotactic body radiation therapy (SBRT) and stereotactic radiosurgery (SRS) treatment guidelines

Health. All Rights Reserved. 3 AIM’s Clinical Appropriateness Guidelines (hereinafter “AIM’s Clinical Appropriateness Guidelines” or the “Guidelines”) are designed to assist providers in making the most appropriate treatment decision for a specific clinical condition for an individual. As used by AIM, the Guidelines establish objective and evidence-based, where possible, criteria for medical necessity determinations. In the process, multiple functions are accomplished: ? To establish criteria (...) for when services are medically necessary ? To assist the practitioner as an educational tool ? To encourage standardization of medical practice patterns ? To curtail the performance of inappropriate and/or duplicate services ? To advocate for patient safety concerns ? To enhance the quality of healthcare ? To promote the most efficient and cost-effective use of services AIM’s guideline development process complies with applicable accreditation standards, including the requirement that the Guidelines

2018 AIM Specialty Health

15. ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management (Full text)

and Drug Therapy; Cardiovascular Surgery; Hypertension and the Heart; Nuclear Cardiology and Cardiac Computed Tomography; Thrombosis; Valvular Heart Disease. Disclaimer. The ESC Guidelines represent the views of the ESC and were produced after careful consideration of the scienti?c and medical knowledge and the evidence available at the time of their dating. The ESC is not responsible in the event of any contradiction, discrepancy and/or ambiguity between the ESC Guidelines and any other of?cial (...) by the anaesthesiologist because of suspected or known cardiac disease with suf?cient complexity to carry a potential perioperative risk (e.g. congenital heart disease, unstable symptoms or low functional capacity), patients in whom pre-operative medical optimization is expected to reduce periopera- tive risk before low- and intermediate-risk surgery, and patients with known or high risk of cardiac disease who are undergoing high-risk surgery. Guidelines have the potential to improve post-operative outcomes

2014 European Society of Cardiology PubMed

16. 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines

? cardiac surgery ? heart valves ? mitral regurgitation ? prosthetic valves ? transcatheter aortic valve replacement ? tricuspid stenosis ? valvular heart disease AHA/ACC GUIDELINE ACC/AHA Task Force Members, see page e1180 *Focused Update writing group members are required to recuse themselves from voting on sections to which their specific relationships with industry may apply; see Appendix 1 for detailed information. †ACC/AHA Representative. ‡ACC/AHA Task Force on Clinical Practice Guidelines Liaison (...) are official policy of the ACC and AHA? Intended Use Practice guidelines provide recommendations applicable to patients with or at risk of developing cardiovascular dis- ease? The focus is on medical practice in the United States, but guidelines developed in collaboration with other orga- nizations may have a global impact? Although guidelines may be used to inform regulatory or payer decisions, their intent is to improve patients’ quality of care and align with patients’ interests? Guidelines are intended

2017 American Heart Association

17. Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline

Medicine Clinical Practice Guideline Vishesh K. Kapur, MD, MPH 1 ; Dennis H. Auckley, MD 2 ; Susmita Chowdhuri, MD 3 ; David C. Kuhlmann, MD 4 ; Reena Mehra, MD, MS 5 ; Kannan Ramar, MBBS, MD 6 ; Christopher G. Harrod, MS 7 1 University of Washington, Seattle, WA; 2 MetroHealth Medical Center and Case Western Reserve University, Cleveland, OH; 3 John D. Dingell VA Medical Center and Wayne State University, Detroit, MI; 4 Bothwell Regional Health Center, Sedalia, MO; 5 Cleveland Clinic, Cleveland, OH; 6 (...) was conducted to identify studies, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) process was used to assess the evidence. The task force developed recommendations and assigned strengths based on the quality of evidence, the balance of benefits and harms, patient values and preferences, and resource use. In addition, the task force adopted foundational recommendations from prior guidelines as “good practice statements”, that establish the basis for appropriate

2017 American Academy of Sleep Medicine

18. 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Hea

without commercial support, and members of each organization volunteer their time to the writing and review efforts. Guidelines are official policy of the ACC and AHA. Intended Use Practice guidelines provide recommendations applicable to patients with or at risk of developing cardiovascular disease. The focus is on medical practice in the United States, but guidelines developed in collaboration with other organizations may have a global impact. Although guidelines may be used to inform regulatory (...) as written. Future guidelines will fully implement this format, including provisions for limiting the amount of text in a guideline. Recognizing the importance of cost–value considerations in certain guidelines, when appropriate and feasible, an analysis of the value of a medication, device, or intervention may be performed in accordance with the ACC/AHA methodology. To ensure that guideline recommendations remain current, new data are reviewed on an ongoing basis, with full guideline revisions

2017 American Heart Association

19. Prevention of severe infectious complications after colorectal surgery using preoperative orally administered antibiotic prophylaxis (PreCaution): study protocol for a randomized controlled trial (Full text)

medication will be administered four times daily during the 3 days prior to surgery. Perioperative intravenously administered antibiotic prophylaxis will be administered to all patients in accordance with national infection control guidelines. The primary endpoint of the study is the cumulative incidence of deep SSIs and/or mortality within 30 days after surgery. Secondary endpoints include both infectious and non-infectious complications of colorectal surgery, and will be evaluated 30 days and/or 6 (...) Prevention of severe infectious complications after colorectal surgery using preoperative orally administered antibiotic prophylaxis (PreCaution): study protocol for a randomized controlled trial Colorectal surgery is frequently complicated by surgical site infections (SSIs). The most important consequences of SSIs are prolonged hospitalization, an increased risk of surgical reintervention and an increase in mortality. Perioperative intravenously administered antibiotic prophylaxis

2018 Trials PubMed

20. Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication (Full text)

vein is the preferred conduit for infrainguinal bypass grafting. Patients who undergo invasive treatments for IC should be monitored regularly in a surveillance program to record subjective improvements, assess risk factors, optimize compliance with cardioprotective medications, and monitor hemodynamic and patency status. Development of the guidelines document The Society for Vascular Surgery (SVS) Lower Extremity Guidelines Committee began the process by developing a detailed outline (...) Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication - Journal of Vascular Surgery Email/Username: Password: Remember me Search JVS Journals Search Terms Search within Search Access provided by Volume 61, Issue 3

2015 Society for Vascular Surgery PubMed

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