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Preoperative Guidelines for Medications Prior to Surgery

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41. 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

42. Chronic Antithrombotic Therapy and Gynecologic Surgery

the issue with the patient’s primary care provider as part of the preoperative surgical assessment. Table 2. Perioperative Management of Patients With Prior Venous Thromboembolism Who Receive Antithrombotic Therapy for Venous Thromboembolism According to Risk of Recurrent Venous Thromboembolism and Risk of Bleeding With Planned Gynecologic Surgery High Risk of Thromboembolism (Venous Thromboembolism Within 3 Months, Severe Thrombophilia) Moderate Risk of Thromboembolism (Venous Thromboembolism Within 3 (...) ( ). Interruption of antithrombotic therapy to reduce perioperative bleeding poses a significant risk of recurrent thromboembolic events ( ). With careful management, taking into account risk of hemorrhage and risk of clot, patients who receive chronic antithrombotic therapy have a less than 2% risk of venous thromboembolism or bleeding ( ). The care of patients who receive antithrombotic therapy around the time of gynecologic surgery is considered in this document based on expert opinion and 2012 guidelines

2014 American College of Obstetricians and Gynecologists

43. 2017 Focused update on Dual Antiplatelet Therapy (DAPT) Full Text available with Trip Pro

CRUSADE Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the ACC/AHA Guidelines CURE Clopidogrel in Unstable Angina to Prevent Recurrent Events CYP Cytochrome P450 DAPT Dual antiplatelet therapy DES Drug-eluting stent EACTS European Association for Cardio-Thoracic Surgery EAPC European Association of Preventive Cardiology EAPCI European Association of Percutaneous Cardiovascular Interventions ESC European Society of Cardiology EXAMINATION (...) Scientific Document Group, ESC Committee for Practice Guidelines (CPG), ESC National Cardiac Societies, 2017 ESC focused update on dual antiplatelet therapy in coronary artery disease developed in collaboration with EACTS: The Task Force for dual antiplatelet therapy in coronary artery disease of the European Society of Cardiology (ESC) and of the European Association for Cardio-Thoracic Surgery (EACTS), European Heart Journal , Volume 39, Issue 3, 14 January 2018, Pages 213–260, Download citation file

2017 European Society of Cardiology

44. Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy

for hospitalization, surgery, medical illness) ( and ). Depending on the risks of thromboembolism and bleeding, thromboprophylaxis may be achieved with compression stockings, intermittent compression devices, with medications (chemoprophylaxis), or a combination of both. Because an individualized approach to thromboprophylaxis is complex, most recommendations are group specific, with modifications based on the presence/absence of additional risk factors. Guidelines for antithrombotic therapy including appropriate (...) for spontaneous neuraxial bleeding with these medications. 2.1 In patients scheduled to receive thrombolytic therapy, we recommend that the patient be queried and medical record reviewed for a recent history of lumbar puncture, spinal or epidural anesthesia, or ESI to allow appropriate monitoring. Guidelines detailing original contraindications to thrombolytic drugs suggest avoidance of these drugs for 10 days following puncture of noncompressible vessels (grade 1A). Remarks: There is no change

2018 American Society of Regional Anesthesia and Pain Medicine

45. Selection of Optimal Adjuvant Chemotherapy and Targeted Therapy for Early Breast Cancer

, patients, and caregivers. Methods An Expert Panel was convened to develop clinical practice guideline recommendations based on a review of signals in the medical literature on the optimal use of adjuvant cytotoxic chemotherapy and human epidermal growth factor receptor 2 (HER2)–directed therapy. Focused Update Recommendations Patients with early-stage HER2-negative breast cancer with pathologic invasive residual disease at surgery following standard anthracycline- and taxane-based preoperative therapy (...) and Targeted Therapy for Early Breast Cancer: ASCO Clinical Practice Guideline Focused Update Questions Addressed in Focused Update Should adjuvant capecitabine be given following completion of standard preoperative anthracycline- and taxane-based combination chemotherapy in patients with early-stage HER2-negative breast cancer with residual invasive disease at surgery? Should 1 year of adjuvant pertuzumab be added to trastuzumab-based combination chemotherapy in patients with early stage HER2-positive

2018 American Society of Clinical Oncology Guidelines

46. 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 available with Trip Pro

% of pts, the starting dose was not changed. 30 d No beta-blocker therapy Yes 30 d Cohort Studies Matyal et al. (2008) 18503921 Not defined Beta-blocker therapy started immediately prior to or after surgery, and continued for up to 3 d after surgery Not described (observational study) 3 d or hospital discharge No beta-blocker therapy No routine surveillance Hospital discharge * Information on 2 of the study arms (preoperative/postoperative atenolol versus no beta-blocker therapy). The third study arm (...) of current RCTs to clinical practice. Aside from the DECREASE trials, all RCTs initiated beta blockade no more than 1 day prior to surgery. Notably, several cohort studies have shown that shorter durations (≤7 days) of preoperative beta-blocker therapy are associated with worse outcomes than are longer durations of preoperative therapy. Although some authors have emphasized the importance of both longer durations of therapy prior to surgery and preoperative dose-titration to an optimal heart rate

2014 American Heart Association

47. 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

prior to or after surgery, and continued for up to 3 d after surgery Not described (observational study) 3 d or hospital discharge No beta- blocker therapy No routine surveillance Hospital discharge *Information on 2 of the study arms (preoperative/postoperative atenolol versus no beta-blocker therapy). The third study arm (intraoperative atenolol) did not meet the review definition for eligible perioperative beta blockade. BBSA indicates Beta Blocker in Spinal Anesthesia; DECREASE, Dutch (...) 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

2014 Society for Cardiovascular Angiography and Interventions

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

be provided and available. PS09 Guidelines on Sedation and/or for Diagnostic and Interventional Medical, Dental or Surgical Procedures gives guidance in these areas 9.3 Incident/adverse event management and reporting, should be recorded and documented. 9.4 Infection control policies consistent with the National Standards as well as PS28 Guidelines on Infection Control in Anaesthesia must be available. 9.5 Compliance with drug handling standards and PS51 Guidelines for the Safe Management and Use (...) 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

2016 Australian and New Zealand College of Anaesthetists

49. 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

50. Clinical practice guideline on Perioperative Care in Major Abdominal Surgery

of the NHSTable of Contents Introduction 7 Authorship and collaboration 9 Key questions 13 Levels of evidence and recommendation grades 15 Recommendations of the CPG 17 1. Introduction 19 2. Scope and objetives 23 3. Methodology 25 4. Preoperative measures 27 4.1. Information for patients 27 4.2. Nutritional screening 28 4.3. Carbohydrate drinks 35 4.4. Anaesthetic premedication 39 5. Intraoperative measures 43 5.1. ERAS and laparoscopic surgery 43 6. Perioperative measures 51 6.1. Fluid therapy 51 6.2 (...) and quality of life of people who undergo elective major abdominal surgery. JOSÉ JAVIER CASTRODEZA SANS Director-General of Public Health, Quality and Innovation CLINICAL PRACTICE GUIDELINES ON PERIOPERATIVE CARE IN MAJOR ABDOMINAL SURGERY 7Authorship and collaboration Work Group of the CPG on Perioperative Care in Major Abdominal Surgery Antonio Arroyo Sebastián. Doctor of Medicine, Specialist in General Surgery and Surgery of the Digestive Tract. Hospital General Universitario de Elche. Elche. José

2016 GuiaSalud

51. 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

in symptoms, and improvement in left ventricular (LV) systolic function in patients with severe symptomatic AS (Section 3.2.3 in the 2014 VHD guideline). 42–48 Given the magnitude of the difference in outcomes between those undergoing AVR and those who refuse AVR in historical series, an RCT of AVR versus medical therapy would not be appropriate in patients with a low-to-intermediate surgical risk (Section 2.5 in the 2014 VHD guideline). Outcomes after surgical AVR are excellent in patients who do (...) From 2014 VHD Guideline) TAVR was compared with standard therapy in a prospective RCT of patients with severe symptomatic AS who were deemed inoperable. 53,58,60 The rate of all-cause death at 2 years was lower with TAVR (43.3%) (HR: 0.58; 95% CI: 0.36 to 0.92; P=0.02) than with standard medical therapy (68%). 53,58,60 Standard therapy included percutaneous aortic balloon dilation in 84%. There was a reduction in repeat hospitalization with TAVR (55% versus 72.5%; P 1 year after intervention, TAVR

2017 American Heart Association

52. 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 Full Text available with Trip Pro

for Treatment or Prevention of VA e290 5.1. Medication Therapy e290 5.1.1. Medications With Prominent Sodium Channel Blockade e290 5.1.2. Beta Blockers e293 5.1.3. Amiodarone and Sotalol e293 5.1.4. Calcium Channel Blockers e294 5.1.5. Nonantiarrhythmic Medications and Therapies e294 5.2. Preventing SCD With HF Medications e295 5.3. Defibrillators for Treatment of VA and SCD e295 5.4. Catheter Ablation e295 5.4.1. General Considerations e295 5.4.2. VA in Patients With No Apparent Structural Heart Disease (...) 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

2017 American Heart Association

53. Quality Improvement Guidelines for Adult Diagnostic Cervicocerebral Angiography: Update Cooperative Study between the Society of Interventional Radiology (SIR), American Society of Neuroradiology (ASNR), and Society of NeuroInterventional Surgery (SNIS)

, Lafayette, Louisiana; Department of Neurosurgery (T.A.A.), University of Cincinnati, Cincinnati, Ohio; Department of Radiology (J.A.B.), Albert Einstein College of Medicine, Monte?ore Medical Center, Bronx; Department of Radiology (B.N.), Stratton Medical Center, Albany; Depart- ments of Radiology and Neurological Surgery and Neurological Institute (P.M.M.), Columbia University College of Physicians and Surgeons, New York, New York; Department of Radiology (J.A.H.) and Division of Vascular Imaging (...) Quality Improvement Guidelines for Adult Diagnostic Cervicocerebral Angiography: Update Cooperative Study between the Society of Interventional Radiology (SIR), American Society of Neuroradiology (ASNR), and Society of NeuroInterventional Surgery (SNIS) STANDARDS OF PRACTICE QualityImprovementGuidelinesforAdultDiagnostic CervicocerebralAngiography:Update CooperativeStudybetweentheSocietyof InterventionalRadiology(SIR),American SocietyofNeuroradiology(ASNR),and SocietyofNeuroInterventional

2015 Society of Interventional Radiology

54. Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication Full Text available with Trip Pro

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 (...) for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society

2015 Society for Vascular Surgery

55. ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management Full Text available with Trip Pro

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 (...) of the condition of each patient’s health and in consultation with that patient and, where appropriate and/or necessary, the patient’s caregiver. It is also the health profes- sional’s responsibility to verify the rules and regulations applicable to drugs and devices at the time of prescription. 2. Introduction 2.1 The magnitude of the problem The present Guidelines focus on the cardiovascular management of patients in whom heart disease is a potential source of complications during non-cardiac surgery

2014 European Society of Cardiology

56. A Randomized Trial of Preoperative Prophylactic Antibiotics Prior to Kidney Stone Surgery (Percutaneous Nephrolithotomy [PCNL])

A Randomized Trial of Preoperative Prophylactic Antibiotics Prior to Kidney Stone Surgery (Percutaneous Nephrolithotomy [PCNL]) A Randomized Trial of Preoperative Prophylactic Antibiotics Prior to Kidney Stone Surgery (Percutaneous Nephrolithotomy [PCNL]) - 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. A Randomized Trial of Preoperative Prophylactic Antibiotics Prior to Kidney Stone Surgery (Percutaneous Nephrolithotomy [PCNL]) 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. Read our for details. ClinicalTrials.gov Identifier: NCT02384200 Recruitment Status

2015 Clinical Trials

57. Occupational Therapy for people Undergoing total hip replacement

to produce its practice guidelines. The renewed accreditation is valid until 16 January 2023. More information on NICE accreditation can be viewed at www.nice.org.uk/accreditation.Contents iv Occupational therapy for adults undergoing total hip replacement 7 Service user perspectives of the recommendations 53 7.1 Overall service user o pinions 53 7.2 Understanding the r ecommendations 53 7.3 Preparing for the op eration and achieving bene fits and outcomes after surgery 54 8 Implementation (...) will have many similarities. The decision was made not to expand the guideline further to include other types of surgery following hip fracture (such as hemiarthroplasty) as it was felt this was addressed in other available national clinical guidelines (SIGN 2009, NICE 2011). A proposal to produce a practice guideline for occupational therapy within the field of total hip replacement was developed by the RCOTSS – Trauma and Orthopaedics, and this was subsequently approved by the Royal College

2018 British Association of Occupational Therapists

58. Guidelines for Perioperative Care in Elective Rectal/Pelvic Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

Preoperative counseling and education Essential discussion between surgeon and patient regarding activity, drains/tubes/lines, and expectations regarding hospital discharge Identical but with the addition of specific education for the marking and management of stomas Increased (stoma) Preoperative medical optimisation Addressing anaemia, malnutrition, and deconditioning Identical with consideration of possibly higher blood loss, longer operative time, open surgery more often that laparoscopy, and more (...) aggressive preoperative therapy in the case of preoperative pelvic radiation and chemotherapy Increased evaluation, though no specific optimisation Smoking cessation and moderation of alcohol consumption. Oral mechanical bowel preparation Should be avoided Some cleansing of diverted bowel indicated Specific indications with diversion of stomas Preoperative carbohydrate drink, no overnight fasting Indicated Indicated None Preanaesthesia medications Avoidance of long-acting sedation Avoidance of long

2013 ERAS Society

59. Prevention of severe infectious complications after colorectal surgery using preoperative orally administered antibiotic prophylaxis (PreCaution): study protocol for a randomized controlled trial Full Text available with Trip Pro

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 Controlled trial quality: predicted high

60. Management of Opioid Therapy (OT) for Chronic Pain

clinicians or specialists to study and consider the latest information on opioid therapy (OT) and how and whether to incorporate that information or recommendations into their practice. It can be used to provide specific information to guide a patient encounter, such as looking up the dosing of a medication used less frequently or the meaning of the urine drug testing (UDT) result. The section on tapering and its accompanying appendix can be used to assist in the development of a framework for guiding (...) , substance use disorders, and/or mental health problems for patients presenting with high risk and/or aberrant behavior. Strong for Reviewed, New- replaced 17. We recommend offering medication assisted treatment for opioid use disorder to patients with chronic pain and opioid use disorder. Note: See the VA/DoD Clinical Practice Guideline for the Management of Substance Use Disorders. Strong for Reviewed, New- replaced Opioid Therapy for Acute Pain 18. a) We recommend alternatives to opioids for mild

2017 VA/DoD Clinical Practice Guidelines

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