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Preoperative Guidelines for Medications Prior to Surgery

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21. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient

Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient Guidelines for the Provision and Assessment of Nutrition Sup... : Critical Care Medicine You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me on this computer Register for a free account (...) my selection doi: 10.1097/CCM.0000000000001525 Special Article Free Supplemental Digital Content is available in the text. 1 Nutrition Support Specialist, Barnes Jewish Hospital, St. Louis, MO. 2 Department of Medicine, University of Louisville, Louisville, KY. 3 Chief Division of General Surgery, Oregon Health and Science University, Portland, OR. 4 Critical Care Dietitian, Portland VA Medical Center, Portland, OR. 5 Clinical Nurse Specialist: Wound, Skin, Ostomy, UW Health University

2016 Society of Critical Care Medicine

22. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient

, Department of Medicine, University of Louisville, Louisville, KY. Email: Charlene Compher, RD, PhD, Professor of Nutrition Science, University of Pennsylvania School of Nursing, Philadelphia, PA, USA. Email: Nutrition Support Specialist, Barnes Jewish Hospital, St Louis, Missouri Beth Taylor and Steven McClave are co–first authors of this article. Chief Division of General Surgery, Oregon Health and Science University, Portland, Oregon Critical Care Dietitian, Portland VA Medical Center, Portland, Oregon (...) . , , , In a prospective nonrandomized study, Jie et al showed that high‐risk surgery patients (NRS 2002 ≥5) who received sufficient preoperative nutrition therapy (>10 kcal/kg/d for 7 days) had significant reductions in nosocomial infections and overall complications compared with patients who received insufficient therapy. No differences were seen between sufficient and insufficient EN in low‐risk patients. In a large observational study, Heyland et al showed that, for high‐risk ICU patients with NUTRIC scores ≥6

2016 American Society for Parenteral and Enteral Nutrition

23. 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

24. 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

25. Warfarin Therapy - Management During Invasive Procedures and Surgery

Warfarin Therapy - Management During Invasive Procedures and Surgery Guidelines & Protocols Advisory Committee Warfarin Therapy – Management During Invasive Procedures and Surgery Effective Date: April 1, 2015 Scope This guideline provides recommendations for the management of warfarin therapy in adults aged = 19 years requiring invasive procedures and surgery. Perioperative management of non-vitamin K antagonist oral anticoagulants can be found in BCGuidelines.ca – Use of NOACs in Non-Valvular (...) Atrial Fibrillation. Non-perioperative management of warfarin is covered in BCGuidelines.ca – Warfarin Therapy Management. Key Recommendations • Warfarin discontinuation prior to invasive procedures is necessary for all interventional procedures except for minor skin procedures, routine dental work, cataract surgery, endoscopies without biopsy, and percutaneous venous access. • For elective procedures, warfarin should be stopped for 5 to 6 days prior to the procedure to allow gradual normalization

2015 Clinical Practice Guidelines and Protocols in British Columbia

26. The European Society of Regional Anaesthesia and Pain Therapy and the American Society of Regional Anesthesia and Pain Medicine Joint Committee Practice Advisory on Controversial Topics in Pediatric Regional Anesthesia Full Text available with Trip Pro

) and the European Society of Regional Anaesthesia and Pain Therapy (ESRA) are the primary societies for regional anesthesia in the world, and one of their goals is to create recommendations/guidelines through the collaboration of their experts. The first result was in 2009, the publication of “The American Society of Regional Anesthesia and Pain Medicine and the European Society of Regional Anesthesia and Pain Therapy Joint Committee Recommendations for Education and Training on Ultrasound-Guided Regional (...) The European Society of Regional Anaesthesia and Pain Therapy and the American Society of Regional Anesthesia and Pain Medicine Joint Committee Practice Advisory on Controversial Topics in Pediatric Regional Anesthesia The European Society of Regional Anaesthesia and Pain Therap... : Regional Anesthesia and Pain Medicine You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers

2015 American Society of Regional Anesthesia and Pain Medicine

27. Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications

described a spinal epidural hematoma after epidural catheter removal in an individual with a low platelet count who had been taking cilostazol following vascular surgery. Limited data exist evaluating the risk of perioperative surgical bleeding with cilostazol, and no standard perioperative guidelines are available. If the medication is discontinued, even after continuous dosing, at 50 hours (approximately 5 half-lives) less than 5% of the drug remains in the plasma, and improvements in platelet (...) in patients undergoing specific interventional spine and pain procedures including facet procedures, ESIs, percutaneous spinal cord stimulator trials and implantations, celiac plexus blocks, and intrathecal drug delivery systems necessitates updated guidelines. Hence, the ASRA Board of Directors recommended that the guidelines committee develop updated guidelines for pain medicine interventions. The latest evidence was sought through extensive database search strategies. Although the guidelines may

2018 American Society of Regional Anesthesia and Pain Medicine

28. The Association of Coloproctology of Great Britain and Ireland Consensus Guidelines in Surgery for Inflammatory Bowel Disease Full Text available with Trip Pro

%) 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 (...) steroids to induce remission . Subsequent therapy may be medical or surgical and will be influenced by disease severity and also by patient choice. Mild disease may be best treated with budesonide. Severe disease, especially where complications are present at presentation, may be best treated with surgery. Moderately active disease is the area where there is limited evidence to guide best practice. The European Crohn's and Colitis guidelines note a consensus preference for avoiding early surgery

2018 Association of Coloproctology of Great Britain and Ireland

29. Preoperative medication use and postoperative delirium: a systematic review. Full Text available with Trip Pro

and postsurgical delirium. More studies are required to evaluate the association of specific preoperative medications on the risk of postoperative delirium so that comprehensive guidelines for medicine use prior to surgery can be developed to aid delirium prevention.This systematic review has been registered on PROSPERO International prospective register of systematic reviews (Registration number: CRD42016051245 ). (...) of delirium. Of the studies specifically testing the association with a medication class, preoperative use of beta-blockers (OR = 2.06[1.18-3.60]) in vascular surgery and benzodiazepines RR 2.10 (1.23-3.59) prior to orthopedic surgery were significant. However, evidence is from single studies only. Where medicines were included as one possible factor among many, hypnotics had a similar risk estimate to the benzodiazepine study, with one significant and one non-significant result. Nifedipine use prior

2017 BMC Geriatrics

30. A Preoperative Medical History and Physical Should Not Be a Requirement for All Cataract Patients. Full Text available with Trip Pro

A Preoperative Medical History and Physical Should Not Be a Requirement for All Cataract Patients. Cataract surgery poses minimal systemic medical risk, yet a preoperative general medical history and physical is required by the Centers for Medicare and Medicaid Services and other regulatory bodies within 1 month of cataract surgery. Based on prior research and practice guidelines, there is professional consensus that preoperative laboratory testing confers no benefit when routinely performed (...) on cataract surgical patients. Such testing remains commonplace. Although not yet tested in a large-scale trial, there is also no evidence that the required history and physical yields a benefit for most cataract surgical patients above and beyond the screening performed by anesthesia staff on the day of surgery. We propose that the minority of patients who might benefit from a preoperative medical history and physical can be identified prospectively. Regulatory agencies should not constrain medical

2017 Journal of General Internal Medicine

31. 2012 Update to The Society of Thoracic Surgeons Guideline on Use of Antiplatelet Drugs in Patients Having Cardiac and Noncardiac Operations

options of patients exposed to anti- platelet drugs who need urgent operation. A. Search Methods The search methods used to survey the published liter- ature changed in the current guideline version compared with the previously published guideline [1]. In the inter- est of transparency, literature searches were conducted using standardized Medical Subject Heading (MeSH) terms from the National Library of Medicine PUBMED database list of search terms. The following terms com- prised the standard (...) graft surgery COX cyclooxygenase CYP cytochrome P450 GP glycoprotein ICU intensive care unit MeSH Medical Subject Heading MI myocardial infarction PCI percutaneous coronary intervention PDE phosphodiesterase STS The Society of Thoracic Surgeons 1762 UPDATE TO STS PRACTICE GUIDELINE FERRARIS ET AL Ann Thorac Surg ANTIPLATELET DRUGS IN CARDIAC AND NONCARDIAC OPERATIONS 2012;94:1761–81 REPORTTable 1. Summary of Recommendations Related to Antiplatelet Drugs Recommendation Class

2012 Society of Thoracic Surgeons

32. Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations Full Text available with Trip Pro

MBP is not indicated before liver surgery Low Weak 6. Pre-anesthetic medication Long-acting anxiolytic drugs should be avoided. Short-acting anxiolytics may be used to perform regional analgesia prior to the induction of anesthesia Moderate Strong 7. Anti-thrombotic prophylaxis LMWH or unfragmented heparin reduces the risk of thromboembolic complications and should be started 2–12 h before surgery, particularly in major hepatectomy. Intermittent pneumatic compression stockings should be added (...) . The present systematic review elaborates specific ERAS Society guidelines for enhanced recovery care after liver surgery by systematic review of the literature and expert consensus with the Delphi method. Methods Literature search and data selection According to the PRISMA statements [ ], EMBASE and Medline (through PubMed) were searched systematically using the medical subject headings (MeSH) “Hepatectomy AND the 23 pre-, intra- and postoperative validated ERAS items.” Only full-text articles in English

2016 ERAS Society

33. Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

(only one high-quality RCT) Strong Preoperative weight loss Preoperative weight loss should be recommended prior to bariatric surgery Patients on glucose - lowering drugs should be aware of the risk of hypoglycaemia Postoperative complications: High Postoperative weight loss: Low (inconsistency, low quality) Strong Glucocorticoids Eight mg dexamethasone should be administered i.v., preferably 90 min prior to induction of anaesthesia for reduction of PONV as well as inflammatory response Low (no RCTs (...) program [ ] showed no difference in complication rates or length of stay but better functional recovery at 4 and 8 weeks. Despite prehabilitation being attractive and logical, there is sparse evidence linking improvement of physiological function with preoperative exercise and decreased postoperative complications. Smoking and alcohol cessation In many centres, as well as in most guidelines, drug or alcohol abuse during the preceding 2 years is considered contraindications for bariatric surgery

2016 ERAS Society

34. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 14: Brace therapy as an adjunct to or substitute for lumbar fusion

. Rigid lumbar bracing may there- fore have some short-term benefit compared with soft bracing for the short-term treatment of low-back pain. Because there was no control group in this study, the pa- per is considered to provide Level III medical evidence regarding the efficacy of brace therapy for low-back pain. Bracing Prior to Fusion There has only been one study published that has investigated the role of preoperative brace therapy as a predictor for outcome following lumbar fusion. 4 Axelsson et (...) Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 14: Brace therapy as an adjunct to or substitute for lumbar fusion J Neurosurg Spine 21:91–101, 2014 91 ©AANS, 2014 J Neurosurg: Spine / Volume 21 / July 2014 Recommendations There is no evidence that conflicts with the previous recommendations published in the original version of the guidelines for the use of lumbar bracing in the treatment of low-back pain. Grade B The prescription

2014 Congress of Neurological Surgeons

35. Oncological outcomes from trimodality therapy receiving definitive doses of neoadjuvant chemoradiation (≥60 Gy) and factors influencing consideration for surgery in stage III non-small cell lung cancer Full Text available with Trip Pro

Oncological outcomes from trimodality therapy receiving definitive doses of neoadjuvant chemoradiation (≥60 Gy) and factors influencing consideration for surgery in stage III non-small cell lung cancer Guidelines for locally advanced non-small cell lung cancer (LA-NSCLC) recommend definitive chemoradiation therapy (CRT) for cN2-N3 disease, reserving surgery for patients with minimal nodal involvement at presentation. The current literature suggests that surgery after CRT for stage III NSCLC (...) can improve freedom-from-recurrence (FFR) but has not consistently demonstrated an improvement in overall survival, perhaps partly due to the low (45-50.4 Gy) preoperative doses delivered that result in low rates of mediastinal nodal clearance. We therefore analyzed factors associated with trimodality therapy receipt and determined outcomes in patients with LA-NSCLC who were treated with definitive doses (≥60 Gy) of neoadjuvant CRT prior to surgery.We retrospectively analyzed 355 consecutive

2017 Advances in radiation oncology

36. Lung Cancer Surveillance After Definitive Curative-Intent Therapy

/Cornell University, New York, NY Abstract Section: PURPOSE To provide evidence-based recommendations to practicing clinicians on radiographic imaging and biomarker surveillance strategies after definitive curative-intent therapy in patients with stage I-III non–small-cell lung cancer (NSCLC) and SCLC. METHODS ASCO convened an Expert Panel of medical oncology, thoracic surgery, radiation oncology, pulmonary, radiology, primary care, and advocacy experts to conduct a literature search, which included (...) Lung Cancer Surveillance After Definitive Curative-Intent Therapy Lung Cancer Surveillance After Definitive Curative-Intent Therapy: ASCO Guideline | Journal of Clinical Oncology Search in: Menu Article Tools ASCO SPECIAL ARTICLES Article Tools OPTIONS & TOOLS COMPANION ARTICLES No companion articles ARTICLE CITATION DOI: 10.1200/JCO.19.02748 Journal of Clinical Oncology - published online before print December 12, 2019 PMID: Lung Cancer Surveillance After Definitive Curative-Intent Therapy

2020 American Society of Clinical Oncology Guidelines

37. A Person-Centered Prehabilitation Program Based on Cognitive-Behavioral Physical Therapy for Patients Scheduled for Lumbar Fusion Surgery - A Randomized Controlled Trial. Full Text available with Trip Pro

A Person-Centered Prehabilitation Program Based on Cognitive-Behavioral Physical Therapy for Patients Scheduled for Lumbar Fusion Surgery - A Randomized Controlled Trial. Prehabilitation programs have led to improved postoperative outcomes in several surgical contexts, but there are presently no guidelines for the prehabilitation phase before lumbar fusion surgery.The objective was to investigate whether a person-centered physiotherapeutic prehabilitation program, based on a cognitive (...) before surgery. The control group received conventional preoperative care.The primary outcome was the Oswestry Disability Index score. Secondary outcomes were back and leg pain intensity, catastrophizing, kinesiophobia, self-efficacy, anxiety, depression, health-related quality of life, and patient-specific functioning, physical activity, and physical capacity. Data were collected on 6 occasions up to 6 months postoperatively. A linear mixed model was used to analyze the change scores of each

2019 Physical therapy Controlled trial quality: predicted high

38. Adjuvant and Salvage Radiation Therapy After Prostatectomy Guideline

. Additional information is provided as Clinical Principles and Expert Opinion when insufficient evidence existed. See text for definitions and detailed information. GUIDELINE STATEMENTS 1. Patients who are being considered for management of localized prostate cancer with radical prostatectomy should be informed of the potential for adverse pathologic findings that portend a higher risk of cancer recurrence and that these findings may suggest a potential benefit of additional therapy after surgery (...) with a detectable PSA level, appropriate salvage therapies may be considered. This guideline focuses on the evidence for use of RT in the adjuvant and salvage contexts. Adjuvant radiotherapy (ART) is defined as the administration of RT to post-prostatectomy patients at a higher risk of recurrence because of adverse pathological features prior to evidence of disease recurrence (i.e., with an undetectable PSA). There is no evidence that addresses the timing of the first PSA test post-prostatectomy to determine

2013 American Society for Radiation Oncology

39. CCS guidelines on perioperative cardiac risk assessment and management for patients undergoing noncardiac surgery Full Text available with Trip Pro

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

40. Radiation Therapy for the Whole-Breast (ASTRO)

to the WBI alone, and many have begun to embrace hypofractionated boost regimens following hypofractionated WBI. Given the excellent local control outcomes in these HF-WBI trials and no clear prior data establishing an alternative dose as more beneficial, as well as longstanding practice patterns and the history of 25 ASTRO WHOLE BREAST IRRADIATION GUIDELINE Practical Radiation Oncology * Medical physics representative abstained from rating this recommendation. outstanding outcomes from centers (...) Radiation Therapy for the Whole-Breast (ASTRO) Practical Radiation Oncology (2018) Radiation Therapy for the Whole Breast: An American Society for Radiation Oncology (ASTRO) Evidence-Based Guideline Benjamin D. Smith, MD, a* Jennifer R. Bellon, MD, b Rachel Blitzblau, MD, PhD, c Gary Freedman, MD, d Bruce Haffty, MD, e Carol Hahn, MD, f Francine Halberg, MD, g Karen Hoffman, MD, a Kathleen Horst, MD, h Jean M. Moran, PhD, i Caroline Patton, MA, j Jane Perlmutter, PhD, k Laura Warren, MD, b

2019 American Society for Radiation Oncology

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