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Preoperative Guidelines for Medications Prior to Surgery

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

for surgery, radiation therapy should be given after initiation of corticosteroid therapy. A recent review of radiation therapy for metastatic spinal cord compression concluded that for patients with a poor prognosis, a single fraction of 8 Gy should be given. For those with patients with a good prognosis, consideration of 30 Gy in 10 fractions was recommended. When a metastasis results in a pathologic compression fracture, percutaneous kyphoplasty may be of benefit. The ASTRO evidence based guideline (...) Clinical Appropriateness Guidelines: Radiation Oncology Brachytherapy, intensity modulated radiation therapy (IMRT), stereotactic body radiation therapy (SBRT) and stereotactic radiosurgery (SRS) treatment guidelines Clinical Appropriateness Guidelines: Radiation Oncology Brachytherapy, intensity modulated radiation therapy (IMRT), stereotactic body radiation therapy (SBRT) and stereotactic radiosurgery (SRS) treatment guidelines Effective Date: January 1, 2018 Proprietary Date of Origin: 05/14

2018 AIM Specialty Health

2. 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

3. Testing the Combination of Two Approved Chemotherapy Drugs and Radiation Prior to Surgery in Localized Pancreatic Cancer

Testing the Combination of Two Approved Chemotherapy Drugs and Radiation Prior to Surgery in Localized Pancreatic Cancer Testing the Combination of Two Approved Chemotherapy Drugs and Radiation Prior to Surgery in Localized Pancreatic Cancer - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum (...) number of saved studies (100). Please remove one or more studies before adding more. Testing the Combination of Two Approved Chemotherapy Drugs and Radiation Prior to Surgery in Localized Pancreatic Cancer The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details

2018 Clinical Trials

4. Antithrombotic Therapy for Atrial Fibrillation: CHEST Guideline and Expert Panel Report

therapy for patients with AF with$1 non-sex CHA 2 DS 2 -VASc stroke risk factor(s). CHEST 2018; 154(5):1121-1201 KEYWORDS: antithrombotic therapy; atrial ?brillation; evidence-based medicine; guidelines Note on Shaded Text: In this guideline, shaded text with an asterisk (shading appears in PDF ?le only) refers to recommendations that remain unchanged from the previous version of the guideline. Summary of Recommendations 1. For patients with AF, including those with paroxysmal AF, stroke risk should (...) risk - High risk (including prior stroke) VKA No VKA - Death - All stroke - Ischemic stroke - Systemic embolism - Intracranial hem- orrhage (subdural, subarachnoid, and intracerebral) - Major extracranial hemorrhage -MI - Vascular death SR RCTs (Continued) 1130 Evidence-Based Medicine [ 154#5 CHEST NOVEMBER 2018 ]TABLE1] (Continued) Section Question Patients Intervention Control Outcomes Methodology 2.1 Patients with nonrheumatic AF As above Antiplatelet drug (aspirin or other) No antiplatelet drug

2018 American College of Chest Physicians

5. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS) Full Text available with Trip Pro

was based on the ERAS ® Society guidelines for colorectal surgery [ ] and gynaecological surgery [ ]. After the topics were agreed upon, they were allocated among the group according to expertise. The literature search (1966–2017) used Embase and PubMed to search medical subject headings including ‘thoracic surgery’, ‘lung cancer surgery’ and all perioperative ERAS items (Table ). Reference lists of all eligible articles were crosschecked for other relevant studies. Table 1: Guidelines for enhanced (...) : postoperative nausea and vomiting; VATS: video-assisted thoracoscopic surgery; VTE: venous thromboembolism. Table 1: Guidelines for enhanced recovery after lung surgery: recommendations of the ERAS Society and the ESTS Recommendations Evidence level Recommendation grade Preoperative phase Preadmission information, education and counselling Patients should routinely receive dedicated preoperative counselling Low Strong Perioperative nutrition Patients should be screened preoperatively for nutritional status

2020 ERAS Society

6. Guidelines for Perioperative Care in Cardiac Surgery Enhanced Recovery After Surgery Society Recommendations

Medicine, Society of Thoracic Surgeons. The Society of Thoracic Surgeons practice guideline series: antibiotic prophylaxis in cardiac surgery, part II: antibiotic choice. Ann Thorac Surg . 2007;83(4):1569-1576. doi: Trent Magruder J, Grimm JC, Dungan SP, et al. Continuous intraoperative cefazolin infusion may reduce surgical site infections during cardiac surgical procedures: a propensity-matched analysis. J Cardiothorac Vasc Anesth . 2015;29(6):1582-1587. doi: Tanner J, Norrie P, Melen K. Preoperative (...) . 2013;119(4):824-836. doi: Aya HD, Cecconi M, Hamilton M, Rhodes A. Goal-directed therapy in cardiac surgery: a systematic review and meta-analysis. Br J Anaesth . 2013;110(4):510-517. doi: Baron DM, Hochrieser H, Posch M, et al; European Surgical Outcomes Study (EuSOS) group for Trials Groups of European Society of Intensive Care Medicine; European Society of Anaesthesiology. Preoperative anaemia is associated with poor clinical outcome in non-cardiac surgery patients. Br J Anaesth . 2014;113(3):416

2020 ERAS Society

7. Responsible use of high-risk medical devices: the example of 3D printed medical devices

manipulation. These anatomic models are then used to shape implants prior to surgery (Implant shaping) or to better plan the surgical operation of complex cases thanks to preoperative simulations/preparations on the models (Surgery planning). 3D models can also be used for training or education purposes for patients and their families as well as medical students. It should be noted that interactive (non- printed) 3D models as well can have a functional added value in enabling pre- operative analysis (...) AIMDD Active Implantable medical device Directive ATMP BCIP BOIP BFM advanced therapy medicinal product Benelux Convention on Intellectual Property Benelux Office for intellectual property Budget of Financial Means CAD computer-aided design CBA cost-benefit analyses CC Civil Code CCA cost-consequence analyses CEA CI cost-effectiveness analyses confidence interval CMA cost-minimization analyses CPD CRD College physicians-directors Centre for Review and Dissemination CUA cost-utility analyses CPC

2018 Belgian Health Care Knowledge Centre

8. Complex surgery and perioperative systemic therapy for genitourinary cancer of the retroperitoneum

Complex surgery and perioperative systemic therapy for genitourinary cancer of the retroperitoneum Guideline 3-20 A Quality Initiative of the Program in Evidence-Based Care (PEBC), Cancer Care Ontario (CCO) Complex surgery and perioperative systemic therapy for genitourinary cancer of the retroperitoneum A. Finelli, N. Coakley, J. Chin, T. Flood, A. Loblaw, C. Morash, R. Shayegan, R. Siemens, and the Genitourinary Cancer Guideline Development Group Report Date: August 8, 2019 For information (...) , et al. Complex surgery and perioperative systemic therapy for genitourinary cancer of the retroperitoneum. Toronto (ON): Cancer Care Ontario; 2019 August 8. Program in Evidence-Based Care Guideline No.: 3-20. Copyright This report is copyrighted by Cancer Care Ontario; the report and the illustrations herein may not be reproduced without the express written permission of Cancer Care Ontario. Cancer Care Ontario reserves the right at any time, and at its sole discretion, to change or revoke

2019 Cancer Care Ontario

9. 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 (...) the healthcare system, and therefore, outcomes other than diagnostic accuracy are relevant in the evaluation of management strategies. These include the impact on clinical outcomes (e.g., sleepiness, QOL, morbidity, mortality, adherence to therapy) and efficiency of care (e.g., time to test, time to treatment, costs). Therefore, these outcomes are also considered in the formulation of the current guideline. Prior AASM guidelines , on the diagnosis of OSA included statements that the TF determined were

2017 American Academy of Sleep Medicine

10. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient Full Text available with Trip Pro

is unavailable due to technical difficulties. Clinical Guideline Free Access Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition Corresponding Author E-mail address: Division of Critical Care Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA Nilesh M. Mehta (...) Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition - Mehta - 2017 - Journal of Parenteral and Enteral Nutrition - Wiley Online Library Search within Search term Search term The full text of this article hosted at iucr.org

2017 American Society for Parenteral and Enteral Nutrition

11. Diagnosis of Upper Quadrant Lymphedema Secondary to Cancer: Clinical Practice Guideline From the Oncology Section of the American Physical Therapy Association Full Text available with Trip Pro

External Lymphedema and Fibrosis Assessment and either circumferential measures or tissue dielectric constant (Expert Opinion) a ILS = International Society of Lymphology. An expert in guideline writing—as well as expert oncology clinicians (physical therapist, occupational therapist, physical medicine and rehabilitation physician, and a breast surgeon) and researchers published in the field of lymphedema detection and diagnosis—completed a review of this manuscript prior to its submission for review (...) Diagnosis of Upper Quadrant Lymphedema Secondary to Cancer: Clinical Practice Guideline From the Oncology Section of the American Physical Therapy Association Diagnosis of Upper Quadrant Lymphedema Secondary to Cancer: Clinical Practice Guideline From the Oncology Section of the American Physical Therapy Association | Physical Therapy | Oxford Academic ') We use cookies to enhance your experience on our website.By continuing to use our website, you are agreeing to our use of cookies. You can

2017 American Physical Therapy Association

12. 2016 ACC/AHA Guideline Focused Update on Duration of Dual Antiplatelet Therapy in Patients With Coronary Artery Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines

) and will be used similarly in this focused update. Recommendations in this focused update on duration of DAPT, aspirin dosing in patients treated with DAPT, and timing of elective noncardiac surgery in patients treated with percutaneous coronary intervention (PCI) and DAPT supersede prior corresponding recommendations in the 6 relevant guidelines. These recommendations for duration of DAPT apply to newer-generation stents and, in general, only to those not treated with oral anticoagulant therapy (...) Therapy in Patients With Coronary Artery Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines: An Update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention, 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery, 2012 ACC/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease, 2013 ACCF/AHA Guideline for the Management of ST-Elevation

2016 American Heart Association

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

of Thoracic Surgeons practice guideline series: Antibiotic prophylaxis in cardiac surgery, part II: antibiotic choice. Ann Thorac Surg. 2007 Apr;83(4):1569-76 PubMed: PM17383396 Summary available from: http://www.guideline.gov/content.aspx?id=10411&search=cefazolin See: Guidelines for Appropriate Dosing of Prophylactic Antibiotics, #1 PREPARED BY: Canadian Agency for Drugs and Technologies in Health Tel: 1-866-898-8439 www.cadth.ca Cefazolin for Preoperative Prophylaxis in Overweight Adults 3 APPENDIX (...) 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

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

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

treatment, and levothyroxine (LT 4 ) suppres- sive therapy is not recommended. Percutaneous ethanol injection (PEI) should be the first-line treatment option for relapsing, benign cystic lesions, while US-guided thermal ablation treatments may be considered for solid or mixed symptomatic benign thyroid nodules. Surgery remains the treatment of choice for malignant or suspicious nod- ules. The present document updates previous guidelines released in 2006 and 2010 by the American Association From 1 (...) ” method. Each topic covered by the guidelines was translated to a related question. Accordingly, the bibliographic research was con- ducted by selecting studies able to yield a methodologi- cally reliable answer to each question. The first step was to select pertinent published reports. The U.S. National Library of Medicine Medical Subject Headings (MeSH) database was used as a terminologic filter. Appropriate MeSH terms were identified, and care was taken to select them on a sensitive rather than

2016 American Association of Clinical Endocrinologists

15. Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration Full Text available with Trip Pro

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

16. Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 6: Preoperative antibiotics for shunt surgery in children with hydrocephalus: a systematic review and meta-analysis

Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 6: Preoperative antibiotics for shunt surgery in children with hydrocephalus: a systematic review and meta-analysis J Neurosurg Pediatrics (Suppl) 14:44–52, 2014 44 J Neurosurg: Pediatrics / Volume 14 / November 2014 ©AANS, 2014 C erebrospinal fluid shunting procedures are among the most common procedures performed by pedi- atric neurosurgeons, but infection remains a chal- lenging complication to prevent (...) . Care of patients with infected shunts often requires prolonged hospitalization, Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 6: Preoperative antibiotics for shunt surgery in children with hydrocephalus: a systematic review and meta-analysis Paul Klimo Jr ., m.D., m.P.H., 1–3 m ar K V an Po PPel , m.D., 2,3 Clinton J. t Hom Pson , PH.D., 5 l issa C. Bair D, m.D., 4 a nn -CHristine Du Haime , m.D., 6 an D a nn m arie Flannery , m.D. 7 1 Semmes-Murphey

2014 Congress of Neurological Surgeons

17. Medical Management of Symptomatic Uterine Leiomyomas – An Addendum

monthly during treatment courses and 2 to 4 weeks following completion of the course of therapy. Physicians should be aware of the signs and symptoms of liver failure, and patients should be apprised of the symptoms of liver failure (III-C). 3 Gonadotropin-releasing hormone agonists have been shown to decrease fibroid size, improve anemia, and reduce the probability of perioperative blood transfusions (I-A). 4 Preoperative anemia (hemoglobin <120 g/dL) prior to elective gynaecologic surgery has been (...) Medical Management of Symptomatic Uterine Leiomyomas – An Addendum Guideline No. 389-Medical Management of Symptomatic Uterine Leiomyomas – An Addendum - Journal of Obstetrics and Gynaecology Canada Email/Username: Password: Remember me Search Terms Search within Search Volume 41, Issue 10, Pages 1521–1524 Guideline No. 389-Medical Management of Symptomatic Uterine Leiomyomas – An Addendum x Philippe-Yves Laberge Correspondence Corresponding author: Dr. Philippe Laberge: , MD , x Philippe-Yves

2019 Society of Obstetricians and Gynaecologists of Canada

18. Canadian Cardiovascular Society Guidelines on perioperative cardiac risk assessment and management for patients who undergo noncardiac surgery

that this process could result in some recommendations divergent from previous perioperative guidelines. The CCS Guidelines Committee appointedco-chairs,aprimarypanel,andasecondarypanelto develop these guidelines. Beyond CCS members, these panels also included a variety of medical specialists who belong to theCanadianAnesthesiologists’Society,CanadianAssociation 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, perioper- ative cardiac risk modi?cation, monitoring for perioperative cardiac events, and management of perioperative cardiac complications), identi?ed topics and working groups, searched the literature, developed the summary of ?ndings and GRADE quality assessment tables, voted on the recom- mendations

2017 CPG Infobase

19. Management of Antiplatelet Therapy among Patients on Antiplatelet Therapy for Coronary or Cerebrovascular Disease

, Shekelle PG. Management of Antiplatelet Therapy among Patients on Antiplatelet Therapy for Coronary or Cerebrovascular Disease or with Prior Percutaneous Cardiac Interventions Undergoing Elective Surgery: A Systematic Review. VA ESP Project #05-226; 2017. This report is based on research conducted by the Evidence-based Synthesis Program (ESP) Center located at the West Los Angeles VA Medical Center, Los Angeles, CA , funded by the Department of Veterans Affairs, Veterans Health Administration, Office (...) , and the results were quite heterogeneous, with MACE rates and bleeding rates varying many-fold between studies reporting outcomes for the same combination of preoperative APT and perioperative management (such as preoperative dual antiplatelet therapy, holding both prior to surgery). In general, within studies the bleeding outcomes were reported at higher rates than the MACE outcomes. Key Question 2 Evidence for the impact of timing of discontinuation of APT consists of very small case reports within larger

2017 Veterans Affairs Evidence-based Synthesis Program Reports

20. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm Full Text available with Trip Pro

stent placement or, alternatively, performing EVAR with continuation of dual antiplatelet therapy. Level of recommendation 2 (Weak) Quality of evidence B (Moderate) In patients with a drug-eluting coronary stent requiring open aneurysm repair, we recommend discontinuation of P2Y 12 platelet receptor inhibitor therapy 10 days preoperatively with continuation of aspirin. The P2Y 12 inhibitor should be restarted as soon as possible after surgery. The relative risks and benefits of perioperative (...) 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

2018 Society for Vascular Surgery

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