Clinical practice guideline: evidence, recommendations and algorithm for the preoperative optimization of anemia, hyperglycemia and smoking
| Autor: | Joshua A Greenberg, Kerri A Mullen, Husein Moloo, Daniel I. McIsaac, Joseph Sadek, Reilly P. Musselman, Terry M Zwiep, Janine Malcolm |
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| Rok vydání: | 2021 |
| Předmět: |
Evidence-Based Medicine
business.industry Anemia Surgical care Smoking MEDLINE Correction Guideline medicine.disease Clinical Practice Postoperative Complications Hyperglycemia Practice Guidelines as Topic Preoperative Care Humans Medicine Surgery In patient Elective surgery business Complication Algorithm Algorithms |
| Zdroj: | Canadian Journal of Surgery |
| ISSN: | 1488-2310 0008-428X |
| DOI: | 10.1503/cjs.011519 |
| Popis: | Preoperative optimization has not been explored comprehensively in the surgical literature, as this responsibility has often been divided among surgery, anesthesia and medicine. We developed an evidence-based clinical practice guideline to summarize existing evidence and present diagnostic and treatment algorithms for use by surgeons caring for patients scheduled to undergo major elective surgery. We focus on 3 common comorbid conditions seen across surgical specialties - anemia, hyperglycemia and smoking - as these conditions increase complication rates in patients undergoing major surgery and can be optimized successfully as soon as 6-8 weeks before surgery. With the ability to address these conditions earlier in the patient journey, surgeons can positively affect patient outcomes. The aim of this guideline is to bring optimization in the preoperative period under the existing umbrella of evidence-based surgical care. |
| Databáze: | OpenAIRE |
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