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Kurt J. Pfeifer Angela Selzer Carlos E. Mendez Christopher M. Whinney Barbara Rogers Vinaya Simha Dennis Regan Richard D. Urman Karen Mauck 《Mayo Clinic proceedings. Mayo Clinic》2021,96(6):1655-1669
Perioperative medical management is challenging due to the rising complexity of patients presenting for surgical procedures. A key part of preoperative optimization is appropriate management of long-term medications, yet guidelines and consensus statements for perioperative medication management are lacking. Available resources utilize the recommendations derived from individual studies and do not include a multidisciplinary focus or formal consensus. The Society for Perioperative Assessment and Quality Improvement (SPAQI) identified a lack of authoritative clinical guidance as an opportunity to utilize its multidisciplinary membership to improve evidence-based perioperative care. SPAQI seeks to provide guidance on perioperative medication management that synthesizes available literature with expert consensus. The aim of this Consensus Statement is to provide practical guidance on the preoperative management of endocrine, hormonal, and urologic medications. A panel of experts with anesthesiology, perioperative medicine, hospital medicine, general internal medicine, and medical specialty experience was drawn together and identified the common medications in each of these categories. The authors then utilized a modified Delphi approach to critically review the literature and generate consensus recommendations. 相似文献
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Urs Giger-Pabst Jochen Lange Christoph Maurer Carine Bucher Vital Schreiber Rolf Schlumpf Thomas Kocher Walter Schweizer Stephan Krähenbühl Lukas Krähenbühl 《Nutrition (Burbank, Los Angeles County, Calif.)》2013,29(5):724-729
ObjectiveA recent study suggested that the anti-inflammatory effect of immunonutrition starts after only two d. We therefore investigated the effect of an immunoenriched oral diet administered for three d preoperatively.MethodsIn this prospective, randomized, double-blind, placebo-controlled study, well-nourished patients (Nutrition Risk Screening 2002 <3) with gastrointestinal cancer who were scheduled for major elective abdominal cancer surgery were randomly assigned to either 750 mL of an immunoenriched formula (IEF group) or 750 mL of an isocaloric, isonitrogenous placebo diet (Con group) for 3 consecutive d preoperatively.ResultsA total of 108 patients (IEF group: n = 55; Con group: n = 53) were randomized. The two groups were comparable for all baseline and surgical characteristics. The overall mortality was 2.8% and not significantly different between the two groups (IEF group: 3.6% vs. Con group: 1.9%, P = 1.00). Intention-to-treat analysis showed no difference for the incidence of postoperative overall (IEF group: 29% vs. Con group: 30%; P = 1.00) and infectious (IEF group: 15% vs. Con group: 17%; P = 0.79) complications. Length of hospital stay was 12 ± 4.9 d in the IEF group and 11.6 ± 5.3 d in the Con group (P = 0.68).ConclusionsPreoperative oral supplementation with an immunoenriched diet for 3 d preoperatively did not improve postoperative outcome compared with the placebo in well-nourished patients with elective gastrointestinal cancer surgery. 相似文献
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Susanna L. den Boer MD PhD Gideon J. du Marchie Sarvaas MD Liselotte M. Klitsie MD PhD Gabriëlle G. van Iperen MD Ronald B. Tanke MD PhD Willem A. Helbing MD PhD Ad P.C.M. Backx MD Lukas A.J. Rammeloo MD Michiel Dalinghaus MD PhD Arend D.J. ten Harkel MD PhD 《Echocardiography (Mount Kisco, N.Y.)》2017,34(6):881-887
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Periodontal treatment limits platelet activation in patients with periodontitis—a controlled‐randomized intervention trial 下载免费PDF全文