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Preoperative Guidelines for Medications Prior to Surgery

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61. Lower Extremity Arterial Revascularization?Post-Therapy Imaging

(TcPO2). a Research Author, University of Michigan Health System, Ann Arbor, Michigan. b Principal Author and Panel Vice-chair, University of Michigan Health System, Ann Arbor, Michigan. c Panel Chair, UT Southwestern Medical Center, Dallas, Texas. d Scripps Green Hospital, La Jolla, California; Society for Vascular Surgery. e Northwestern Medicine, Chicago, Illinois. f University of Wisconsin, Madison, Wisconsin. g Massachusetts General Hospital, Boston, Massachusetts. h Cleveland Clinic Heart (...) ]. This can allow patients to be appropriately triaged to either surgery or endovascular therapy, the latter of which may involve thrombolysis or percutaneous thrombectomy, angioplasty, stenting, etc. If performed without prior NIVT or US, there is the potential for longer procedure times, increased contrast use and possibly multiple access sites to provide definitive therapy. CTA In patients with acute limb ischemia and viable or marginally threatened limbs, CTA may be considered for preprocedural

2017 American College of Radiology

62. Management of Antiplatelet Therapy among Patients with Coronary or Cerebrovascular Disease

. Current guidelines from the American College of Cardiology (ACC) and American Heart Association (AHA) recommend elective non-cardiac surgery be delayed one year after drug-eluting stent placement, and 30 days after bare metal stent placement. When considering urgent non-cardiac operative intervention, ACC/AHA recommendations are to continue dual antiplatelet therapy in the perioperative period for four to six weeks after PCI, unless the risks of bleeding outweigh the risks of stent thrombosis. To help (...) , clopidogrel and aspirin have been prescribed; however, the use of newer agents (i.e., ticagrelor and prasugrel) is increasing. Patients undergoing non-cardiac surgery with a prior history of percutaneous coronary intervention (PCI) and placement of coronary stents or balloon angioplasty are at increased risk of perioperative cardiac events. The risk of perioperative adverse events (i.e., major adverse cardiac event, bleeding) is associated with time from PCI, operative urgency, and antiplatelet therapy

2017 Veterans Affairs - R&D

63. Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations Full Text available with Trip Pro

of appropriate physiological endpoints; studies being conducted within elderly cohorts; excessively intensive exercise regimens; and lack of adherence to the designated programmes. Further research is needed by investigating Prehab in younger patient populations. There is also a need for further research into methods that can improve adherence to Prehab. It is generally accepted that preoperative medical optimisation is necessary before surgery. Alcohol abusers have a two-to-threefold increase (...) , and preliminary data from a meta-analysis show a one day-shorter stay in hospital for patients receiving preoperative carbohydrate loading in major abdominal surgery [ , ]. Summary and recommendation: Clear fluids should be allowed up to 2 h and solids up to 6 hrs prior to induction of anaesthesia. In those patients were gastric emptying may be delayed (duodenal obstruction etc.) specific safety measures should at the induction of anaesthesia. Preoperative oral carbohydrate treatment should be used routinely

2012 ERAS Society

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

Increased (stoma) Preoperative medical optimisation Addressing anaemia, malnutrition, and deconditioning. Smoking cessation and moderation of alcohol consumption. 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 Oral mechanical bowel preparation Should be avoided Some (...) for patients with perineal flap closure after APR may be indicated Specific consideration of procedure without guiding evidence, except general guidelines for plastic-surgery care Table 2 Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS ® ) Society recommendations. Item Recommendation Evidence level Recommendation grade Preoperative information, education and counselling Patients should routinely receive dedicated preoperative counselling. Low

2012 ERAS Society

65. Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

, Karolinska Institutet, Stockholm, Sweden Correspondence Corresponding author. Department of Surgery, Ersta Hospital, Stockholm, Sweden. Tel.: +46 87146582; fax: +46 856634607. q , , x M.J. Scott Affiliations Department of Anaesthesia and Intensive Care Medicine, Royal Surrey County Hospital, Foundation Trust, Guildford, UK Faculty of Health and Medical Sciences, University of Surrey, UK c , d , q , x W. Schwenk Affiliations Department for General and Visceral Surgery, Center for Minimal invasive (...) in younger patient populations. There is also a need for further research into methods that can improve adherence to Prehab. It is generally accepted that preoperative medical optimisation is necessary before surgery. Alcohol abusers have a two-to-threefold increase in postoperative morbidity, the most frequent complications being bleeding, wound and cardiopulmonary complications. One month of preoperative abstinence reduces postoperative morbidity by improving organ function. x 28 Tonnesen, H

2012 ERAS Society

66. Intraoperative Vancomycin in Irrigating Solutions for Patients Undergoing Cataract Surgery: Clinical Effectiveness and Guidelines

samples showed less microbial growth in the patients treated with vancomycin in the irrigating solution compared to patients treated preoperatively with ciprofloxacin eye-drops. One guideline 2 produced in the UK by the Royal College of Ophthalmologists notes as part of their ocular pharmacology that unlicensed drugs, such as cefuroxime and vancomycin, are sometimes injected intraocularly or added to irrigating solutions during cataract surgery. As part of their literature review, one guideline 3 (...) -randomized study and two evidence-based guidelines were identified regarding the addition of vancomycin or other antibiotics to irrigating solutions for patients undergoing cataract surgery. Additional references of potential interest are provided in the appendix. OVERALL SUMMARY OF FINDINGS One non-randomized study 1 sought to determine the efficacy of vancomycin in irrigating solutions compared to preoperative topical ciprofloxacin eye-drops for the reduction of anterior chamber contamination. Aqueous

2012 Canadian Agency for Drugs and Technologies in Health - Rapid Review

67. Sentinel Lymph Node Biopsy for the Management of Breast Cancer: A Review of Guidelines

was performed, and not for women with a preoperative diagnosis of DCIS who are having breast-conserving surgery, unless they are considered to be at high risk of invasive disease. SLNB is recommended for women who have operable breast cancer who have multicentric tumors, prior breast and/or axillary surgery, or preoperative or neoadjuvant systemic therapy. SLNB, rather than full axillary nodal clearance, is the standard of care in patients with primary breast cancer. The use of SLNB is recommended after (...) neoadjuvant (preoperative) therapy for staging and management of patients presenting with a clinically negative axilla. There was no information found related to transportation of radioactive materials or patients between health facilities. Files Rapid Response Summary with Critical Appraisal Published : April 24, 2019 Related Content Follow us: © 2019 Canadian Agency for Drugs and Technologies in Health Get our newsletter:

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

68. Guidelines on Supraventricular Tachycardia (for the management of patients with) Full Text available with Trip Pro

12.3.1 Atrial septal defect 42 12.3.2 Ebstein's anomaly 42 12.3.3 Transposition of the great arteries (dextro-transposition of the great arteries) after atrial switch operation (Mustard or Senning) 42 12.3.4 Tetralogy of Fallot 43 12.3.5 Fontan repairs 43 13 Supraventricular tachycardia in the paediatric population 43 13.1 Foetal arrhythmias 43 14 Supraventricular tachycardia in pregnancy 43 14.1 Maternal, obstetric, and offspring risk 44 14.2 Therapy 44 14.2.1 Antiarrhythmic drugs 44 14.2.2 (...) Electrical cardioversion 45 14.2.3 Catheter ablation 45 15 Tachycardia-induced cardiomyopathy 45 15.1 Definition 45 15.2 Mechanism 45 15.3 Diagnosis 45 15.4 Therapy 45 16 Supraventricular tachycardia in sports 46 17 Supraventricular tachycardia and driving restrictions 46 18 Key messages 47 19 Gaps in the evidence 47 20 Evidence-based ‘what to do’ and ‘what not to do’ messages from the Guidelines 48 21 Areas for further research 49 22 Supplementary data 50 23 Appendix 50 24 References 51 Recommendations

2019 European Society of Cardiology

69. Clinical Practice Guideline on the Diagnosis and Prevention of Periprosthetic Joint Infections

guideline filed a disclosure statement as part of the submission process. All panel members provided full disclosure of potential conflicts of interest prior to voting on the recommendations contained within this clinical practice guideline. Funding Source This clinical practice guideline was funded exclusively by the American Academy of Orthopaedic Surgeons (AAOS) who received no funding from outside commercial sources to support the development of this document. FDA Clearance Some drugs or medical (...) , or evidence from a single “High” quality study for recommending for or against the intervention. ANTIBIOTICS WITH LOW PREOPERATIVE SUSPICION OF PJI OR ESTABLISHED PJI WITH A KNOWN PATHOGEN Update of 2009 CPG Recommendation Strong evidence supports that preoperative prophylactic antibiotics be given prior to revision surgery in patients at low preoperative suspicion for periprosthetic infection and those with an established diagnosis of periprosthetic joint infection of known pathogen who are undergoing

2020 American Academy of Orthopaedic Surgeons

70. Clinical Practice Guideline on the Management of Rotator Cuff Injuries

of the submission process. All panel members provided full disclosure of potential conflicts of interest prior to voting on the recommendations contained within this clinical practice guideline. Funding Source This clinical practice guideline was funded exclusively by the American Academy of Orthopaedic Surgeons who received no funding from outside commercial sources to support the development of this document. FDA Clearance Some drugs or medical devices referenced or described in this clinical practice (...) , a qualified residency in orthopaedic surgery, and some may have completed additional sub-specialty training.. Adult primary care physicians, geriatricians, hospital based adult medicine specialists, physical therapists, occupational therapists, nurse practitioners, physician assistants, emergency physicians, and other healthcare professionals who routinely see this type of patient in various practice settings may also benefit from this guideline. Rotator cuff tear management is based on the assumption

2020 American Academy of Orthopaedic Surgeons

71. Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis and Treatment of Low Back Pain

group consisted of 7 to 11 members representing multi-disciplinary backgrounds. The guideline panel includes represen- tation from the fields of primary care, psychology, neurosurgery, orthopedic surgery, physical medicine and rehabilitation, physiatry, chiropractic care, phys- ical therapy, anesthesiology, research, and radiology. NASS believes that having multidisciplinary teams involved in the guideline development process helps to minimize inadvertent biases in evaluating the lit- erature (...) the guideline, readers will see many ac- ronyms with which they may not be familiar. A glos- sary of acronyms is available on page 14. N omencla tur e f or M edical/In t erv en tional Treatment Throughout the guideline, readers will see that what has traditionally been referred to as “nonoperative,” “nonsurgical,” or “conservative” care is now referred to as “medical/interventional care.” The term medi- cal/interventional is meant to encompass pharmaco- logical treatment, physical therapy, exercise therapy

2020 American Society of Regional Anesthesia and Pain Medicine

72. Evidence from Primary Studies and Systematic Reviews and Recommendations from Clinical Practice Guidelines: January to June 2019

%) [16]. In the preoperative assessment of patients with peritoneal disease who are being considered for cytoreductive surgery and hyperthermic intraperitoneal chemotherapy, FDG PET/CT affected management in 36.2% of patients by providing definitive answers for indeterminate lesions seen on CT and MRI [17]. In patients with hepatocellular carcinoma awaiting liver transplantation, FDG PET/CT (accuracy, 93.0%) performed better than contrast-enhanced CT (accuracy, 74.0%) in the detection of intrahepatic (...) with radiotherapy with or without concurrent systemic therapy, FDG PET/CT is an improvement over MRI in detecting residual disease [31]. Likewise, FDG PET/CT is highly sensitive (92.3%) for the diagnosis and highly accurate (90.4%) for the preoperative staging of tongue squamous cell carcinoma [32]. Hematologic Cancer Five studies met the inclusion criteria [33-37]. Two phase II trials examined the interim PET response-adapted strategy in patients with advanced stage Hodgkin lymphoma [33,34]. In the GOELAMS LH

2019 Cancer Care Ontario

73. American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for the Diagnosis and Treatment of Acromegaly

cere- brospinal fluid (CSF) leaks at the time of pituitary surgery may benefit by lumbar drainage and CSF diversion (179 [EL 3]), but this is a surgeon- and experience-dependent option.20 8.3. Is There a Role for Preoperative Medical Therapy? 8.3.1. Does SSA Administration Improve Surgical Outcome? There has been considerable discussion about a role of preoperative medical therapy, especially with SSAs, to affect the quality of the tumor, with resultant enhanced surgical resection and consequently (...) - crine neoplasia type 1; MRI = magnetic resonance imaging; OGTT = oral glucose tolerance test; R = rec- ommendation; RT = radiation therapy; SSAs = soma- tostatin analogues 1. INTRODUCTION Acromegaly is a disorder characterized by growth hor- mone (GH) hypersecretion, multisystem-associated mor- bidities, and increased mortality. In 2004, the American Association of Clinical Endocrinologists (AACE) pub- lished medical guidelines for the clinical management of acromegaly (1 [“evidence level” or EL 4

2011 American Association of Clinical Endocrinologists

74. Medical eligibility criteria for contraceptive use

for meta-analyses was provided by Rochelle Fu. Technical and copy-editing were provided by Jura Editorial Services (jura-eds.com) and Green Ink, United Kingdom (greenink.co.uk). Funding The development of this guideline was financially supported by the National Institutes of Health (NIH) and United States Agency for International Development (USAID).Medical eligibility criteria for contraceptive use - Executive summary | 3 Abbreviations ART antiretroviral therapy ARV antiretroviral (medication) ß-hCG (...) device CVR combined contraceptive vaginal ring CYP3A4 cytochrome P450 3A4 enzyme DMPA depot medroxyprogesterone acetate DMPA-IM depot medroxyprogesterone acetate – intramuscular DMPA-SC depot medroxyprogesterone acetate – subcutaneous DVT deep vein thrombosis ECP emergency contraceptive pill EE ethinyl estradiol E-IUD emergency intrauterine device EMA European Medicines Agency ETG etonogestrel FAB fertility awareness-based methods FDA United States Food and Drug Administration GDG Guideline

2015 World Health Organisation Guidelines

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

guidelines for regional anesthesia in patients on antiplatelet and anticoagulant medications and/or if respondents incorporated different protocols for different pain procedures. One hundred twenty-four active participants attended the forum. Responses were collected using an audience response system. Eighty-four percent of respondents were anesthesiologists, and the remainders were physical medicine and rehabilitation physicians, neurologists, orthopedic surgeons, and neurological surgeons. Most (...) , specifically for interventional spine and pain procedures in patients on antiplatelets/anticoagulants, was evident. Hence, the ASRA Board of Directors recommended that the society’s journal, Regional Anesthesia and Pain Medicine , appoint a committee to develop separate guidelines for pain interventions. The committee has an international representation and was endorsed by the European Society of Regional Anaesthesia and Pain Therapy, the American Academy of Pain Medicine, the International Neuromodulation

2015 American Society of Regional Anesthesia and Pain Medicine

76. Adjuvant systemic therapy for early stage (lymph node negative and lymph node positive) breast cancer

and are a synthesis of currently accepted approaches to management, derived from a review of relevant scientific literature. Clinicians applying these guidelines should, in consultation with the patient, use independent medical judgment in the context of individual clinical circumstances to direct care. All cancer drugs described in the guidelines are funded in accordance with the Outpatient Cancer Drug Benefit Program, at no charge, to eligible residents of Alberta, unless otherwise explicitly stated (...) score:* higher risk 3-5 * Examples: Prosigna TM , OncotypeDx® 6 CLINICAL PRACTICE GUIDELINE BR-014 Version 5 Page 4 of 11 Table 2. Genomic Testing for Systemic Therapy Decision Making* 3-5 Inclusion Criteria Exclusion Criteria • Patient is medically fit to receive adjuvant breast cancer chemotherapy AND • Has early stage resected lymph node negative (including N0i+) or N1mi AND • Either grade 2 or grade 3 invasive breast cancer • Patients unwilling to consider or are medically unfit to receive

2016 CPG Infobase

77. Management of Venous Leg Ulcers: Clinical Practice Guidelines of the Society for Vascular Surgery and the American Venous Forum Full Text available with Trip Pro

Committee—Venous Leg Ulcer Chair: Thomas F. O’Donnell Jr, MD (Cardiovascular Center, Tufts Medical Center, Boston, Mass) Vice Chair: Marc A. Passman, MD (Division of Vascular Surgery and Endovascular Therapy. University of Alabama at Birmingham, Birmingham, Ala; Birmingham Veterans Administration Medical Center, Birmingham, Ala) Committee Members: Mary E. Cummings, MD (University of Michigan, Ann Arbor, Mich) Michael C. Dalsing, MD (Indiana University School of Medicine, IU Health Care System (...) interventional therapies to prevent venous leg ulcer. [GRADE - 2; LEVEL OF EVIDENCE - C] Rationale for Venous Leg Ulcer Guidelines Guidelines present a synthesis of evidence-based recommendations for the diagnosis and treatment of a specific medical condition. x 1 Committee on Clinical Practice Guidelines, Institute of Medicine. Guidelines for clinical practice: From development to use. National Academy Press , Washington, DC ; 1992 The value of a guideline is that it provides consistency among treatment

2014 American Venous Forum

78. 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery

recommendations on the basis of the systematic review and denotes them with superscripted “SR” (i.e., SR ) to emphasize support derived from formal systematic review. Guideline-Directed Medical Therapy—Recognizing advances in medical therapy across the spectrum of cardiovascular diseases, the Task Force designated the term “guideline-directed medical therapy” (GDMT) to represent recommended medical therapy as defined mainly by Class I measures—generally a combination of lifestyle modification and drug (...) . Exercise Stress Testing for Myocardial Ischemia and Functional Capacity: Recommendations 33 5.4. Cardiopulmonary Exercise Testing: Recommendation 34 5.5. Pharmacological Stress Testing 35 5.5.1. Noninvasive Pharmacological Stress Testing Before Noncardiac Surgery: Recommendations 35 5.5.2. Radionuclide MPI 36 5.5.3. Dobutamine Stress Echocardiography 36 5.6. Stress Testing—Special Situations 37 5.7. Preoperative Coronary Angiography: Recommendation 38 6. Perioperative Therapy 39 6.1. Coronary

2014 Society for Cardiovascular Angiography and Interventions

79. Guidelines for Laparoscopic Peritoneal Dialysis Access Surgery

Stefanidis, MD, PhD, Raymond Price, MD, Robert D. Fanelli, MD, Todd Penner, MD, William Richardson, MD SAGES Guidelines Committee Corresponding Author: Stephen P. Haggerty, MD, FACS Division of General Surgery NorthShore University Healthsystem, Evanston, IL Clinical Assistant Professor of Surgery University of Chicago Pritzker School of Medicine 777 Park Avenue West, #3464 Highland Park, IL 60035 847-570-1700 Preamble The use of peritoneal dialysis (PD) as a primary mode of renal replacement therapy has (...) . It will also review evaluation and management of malfunctioning catheters, again focusing on laparoscopic surgical techniques. PATIENT SELECTION Guideline recommendation Contraindications for laparoscopic PD catheter placement include active abdominal infection and uncorrectable mechanical defects of the abdominal wall (+++ Evidence, Strong recommendation) History of prior abdominal surgery, regardless of how many, is not a contraindication to laparoscopic PD catheter insertion. It is appropriate

2014 Society of American Gastrointestinal and Endoscopic Surgeons

80. 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery: Executive Summary

-Lead Electrocardiogram 2221 4.2. Assessment of Left Ventricular Function 2223 4.3. Exercise Testing 2223 4.4. Noninvasive Pharmacological Stress Testing Before Noncardiac Surgery 2224 4.5. Preoperative Coronary Angiography 2224 Perioperative Therapy: Recommendations 2224 5.1. Coronary Revascularization Before Noncardiac Surgery 2224 5.2. Timing of Elective Noncardiac Surgery in Patients With Previous PCI 2224 5.3. Perioperative Beta-Blocker Therapy 2226 5.4. Perioperative Statin Therapy 2227 5.5 (...) to the guideline topic lends itself to systematic review and analysis when the systematic review could impact the sense or strength of related recommendations. The GWC develops recommendations on the basis of the systematic review and denotes them with superscripted “SR” (ie, SR ) to emphasize support derived from formal systematic review. Guideline-Directed Medical Therapy —Recognizing advances in medical therapy across the spectrum of cardiovascular diseases, the Task Force designated the term “guideline

2014 American Heart Association

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