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Guidelines

Perioperative

REVISION DATE: CURRENTLY IN REVISION PROCESS

GUIDELINE SUMMARY

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, Hemostasis, Pregnancy and Glucose in Non-Diabetics)
  3. Obstructive Sleep Apnea
  4. Nicotine Cessation
  5. Preparation for Surgery

Section 2: Perioperative Management of Select Conditions

  1. Cardiovascular Disease and Medications: Review of Select Recommendations from American College of Cardiology/American Heart Association Guidelines
  2. Prevention of Endocarditis: Endorsement of Recommendations from American College of Cardiology and American Heart Association Guidelines
  3. Anticoagulants/Antithrombotics
  4. Hyperglycemia and Diabetes Mellitus
  5. Opioid Management

This version includes a new section on Perioperative Opioid Management which was developed by a separate work group and reviewed by the Perioperative Protocol work group members.

Scope and Target Population

Adults (aged 18 years and older) undergoing elective surgery.

Aims

  1. Increase the percentage of surgical patients undergoing elective surgery who have preoperative health screening and assessment by a primary care provider.
  2. Increase the percentage of surgical patients undergoing elective surgery and are smokers who have smoking addressed prior to surgery.
  3. Increase the percentage of surgical patients undergoing elective surgery who have risk factors for obstructive sleep apnea (OSA) who are screened for OSA prior to surgery.
  4. Increase the percentage of surgical patients undergoing elective surgery who have education on preoperative hair removal, bathing, fasting and oral hygiene prior to surgery.
ICSI

ICSI