Perioperative Care

Oct 15, 2019 Issue
Predicting the Risk of Postoperative Pulmonary Complications [Point-of-Care Guides]

What is the best approach to evaluate postoperative pulmonary risk?

May 15, 2017 Issue
Perioperative Cardiovascular Medication Management in Noncardiac Surgery: Common Questions [Article]

Get the latest recommendations on when to discontinue antiplatelet therapy, beta blockers, statins, clonidine, angiotensin-converting enzyme inhibitors, and angiotensin receptor blockers before surgery.

Dec 1, 2015 Issue
Chewing Gum for Postoperative Recovery of Gastrointestinal Function [Cochrane for Clinicians]

Having patients chew gum reduces the time to first flatus and time to first bowel movement, as well as the length of hospitalization by about half a day.

Mar 15, 2013 Issue
Preoperative Testing Before Noncardiac Surgery: Guidelines and Recommendations [Article]

Preoperative testing (e.g., chest radiography, electrocardiography, laboratory testing, urinalysis) is often performed before surgical procedures. These investigations can be helpful to stratify risk, direct anesthetic choices, and guide postoperative management, but often are obtained because of pr...

Feb 1, 2012 Issue
Perioperative Cardiac Risk Reduction [Article]

Cardiovascular complications are the most common cause of perioperative morbidity and mortality. Noninvasive stress testing is rarely helpful in assessing risk, and for most patients there is no evidence that coronary revascularization provides more protection against perioperative cardiovascular ev...

Apr 15, 2011 Issue
Alvimopan (Entereg) for the Treatment of Postoperative Ileus [STEPS]

Use of alvimopan should be restricted to patients at a higher risk of postoperative ileus following abdominal surgeries, such as hospitalized patients undergoing bowel resection with primary anastomosis. It is an expensive option with limited indications; head-to-head studies with similar agents are...

Mar 1, 2011 Issue
Antiobiotic Prophylaxis to Prevent Surgical Site Infections [Article]

Surgical site infections are the most common nosocomial infections in surgical patients, accounting for approximately 500,000 infections annually. Surgical site infections also account for nearly 4 million excess hospital days annually, and nearly $2 billion in increased health care costs. To reduce...

Dec 15, 2010 Issue
Perioperative Antiplatelet Therapy [Article]

Aspirin is recommended as a lifelong therapy that should never be interrupted for patients with cardiovascular disease. Clopidogrel therapy is mandatory for six weeks after placement of bare-metal stents, three to six months after myocardial infarction, and at least 12 months after placement of drug...

Jun 15, 2008 Issue
ACC/AHA Release Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery [Practice Guidelines]

The American College of Cardiology (ACC) and the American Heart Association (AHA) have created guidelines on perioperative cardiovascular evaluation and care for patients undergoing noncardiac surgery in order to provide an outline for considering cardiac risk in a variety of patients and surgical procedures.

May 15, 2007 Issue
Predicting Postoperative Nausea and Vomiting [Point-of-Care Guides]

Postoperative nausea and vomiting are uncomfortable for patients, can prolong hospitalization, and can lead to more serious complications, including aspiration pneumonia.

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