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Perioperative Guidelines in Anesthesia.

Shane C Dickerson1

  • 1University of Southern California, 1450 San Pablo Street, Suite 3600, Los Angeles, CA 90033, USA.

Otolaryngologic Clinics of North America
|September 15, 2019
PubMed
Summary

Perioperative guidelines improve surgical and anesthesia team agreement on patient care. These guidelines cover cardiovascular evaluation, medication reconciliation, and fasting, optimizing care for patients with comorbidities.

Keywords:
Cardiovascular assessmentMedication managementNPO guidelinesObstructive sleep apneaPercutaneous coronary interventionPreoperative diagnostic studies

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Area of Science:

  • Anesthesiology
  • Surgical Care
  • Perioperative Medicine

Background:

  • Effective perioperative management requires strong agreement between surgical and anesthesia teams.
  • Perioperative guidelines are essential for optimizing patient care before, during, and after surgery.
  • Managing patients with comorbidities presents unique challenges in the perioperative period.

Purpose of the Study:

  • To provide a comprehensive set of perioperative guidelines for surgical and anesthesia teams.
  • To establish a framework for optimizing the care of patients with common comorbidities.
  • To enhance interdisciplinary communication and decision-making in perioperative management.

Main Methods:

  • Review and synthesis of existing perioperative guidelines.
  • Development of evidence-based recommendations for cardiovascular evaluation.
  • Inclusion of strategies for medication reconciliation and preoperative fasting.
  • Framework creation for managing patients with coronary artery disease and obstructive sleep apnea.

Main Results:

  • Guidelines address critical aspects of perioperative care, including cardiovascular assessment.
  • Recommendations provided for safe medication management and preoperative fasting protocols.
  • A structured approach is outlined for patients with significant comorbidities.
  • Emphasis on interdisciplinary collaboration for improved patient outcomes.

Conclusions:

  • Adherence to standardized perioperative guidelines promotes team agreement and enhances patient safety.
  • The guidelines offer a valuable resource for optimizing surgical patients, especially those with comorbidities.
  • Implementing these guidelines can lead to more effective and coordinated perioperative care.
  • Further research can refine these guidelines for specific patient populations.