Perioperative Care in Adults With HIV

Autor: Yan L, Ellman T, McNairy M, McGowan JP, Fine SM, Vail RM, Merrick ST, Radix AE, Hoffmann CJ, Gonzalez CJ
Jazyk: angličtina
Zdroj: 2021 Nov 16.
Abstrakt: This guideline was developed by the New York State Department of Health AIDS Institute (NYSDOH AI) Clinical Guidelines Program to assist clinicians in perioperative care management for adults with HIV, which is largely the same as for adults without HIV. The guideline focuses on concerns specific to patients with HIV. The goals of this guideline are to: Make clear that HIV is not a contraindication to surgery. Advise that HIV does not increase surgical risk in virally suppressed patients and that HIV transmission to the surgical team is eliminated in virally suppressed patients. Provide guidance for managing risks of elective surgery in patients who are not virally suppressed. Emphasize that interruptions in antiretroviral therapy (ART) and opportunistic infection (OI) prophylaxis or treatment should be avoided. The guideline is intended to supplement, not replace, routinely used perioperative protocols that cover stabilization of active medical conditions and risk stratification.
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Databáze: MEDLINE