Perioperative

REVISION DATE: DECEMBER 2024/SIXTH EDITION

GUIDELINE SUMMARY

The ICSI Perioperative Guideline has been enhanced to include a new section - Perioperative Opioid Management - that was developed by a separate work group and reviewed and approved by the Perioperative Guideline work group. The new section addresses the entire continuum of Perioperative Opioid Management (preoperative, intraoperative and postoperative). The scope and target population is adults (18 years of age and older) undergoing elective surgery.

The Perioperative Guideline addresses and includes recommendations on the following topics:

Section 1: General Preoperative Management

1. Preoperative Health Screening and Assessment
2. Preoperative Testing (Electrocardiogram, Chest X-Ray, Hemoglobin/Hematocrit, Potassium/Sodium,Creatinine, Pregnancy, Hemostasis, and Glucose in Non-Diabetics)
3. Obstructive Sleep Apnea
4. Nicotine Cessation
5. Preparation for Surgery

Section 2: Perioperative Management of Select Conditions

6. Cardiovascular Diseases and Medications: Review of Select Recommendations from American College of Cardiology/American Heart Association Guidelines
7. Prevention of Endocarditis: Endorsement of Recommendations from American College of Cardiology and American Heart Association Guidelines
8. Anticoagulants/Antithrombotics
9. Diabetes Mellitus

Section 3: Perioperative Opioid Management

10. Preoperative Opioid Management
11. Intraoperative Pain Management
12. Postoperative Opioid Management
13. Perioperative Considerations for Patients with Opioid Use Disorder (OUD)