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preoperative preparation for thyroid surgery ppt

2023.10.24

128 American College of Obstetricians and Gynecologists 409 12th Street, SW, PO Box 96920, Washington, DC 20090-6920. www.acog.org Preoperative Potassium Iodide Treatment in Patients Undergoing Thyroidectomy for Graves' DiseasePerspective of a European High-Volume Center Kirsten Lindner, Jochen Kumann & Volker Fendrich World Journal of Surgery 44 , 34053409 ( 2020) Cite this article 410 Accesses 2 Citations 3 Altmetric Metrics Abstract Background The basic principles of ERAS include attention to the following: Preoperative counseling and nutritional strategies, including avoidance of prolonged perioperative fasting, Perioperative considerations, including a focus on regional anesthetic and nonopioid analgesic approaches, fluid balance, and maintenance of normothermia, Promotion of postoperative recovery strategies, including early mobilization and appropriate thromboprophylaxis Table 1. 313 Friedman K Nick AM WebEffect of fast-track surgery on surgical outcome of thyroid disease 2812 Am J Transl Res 2023;15(4):2811-2819 ate the condition and improve the prognosis of patients. ACOG practice Bulletin No. 2016 . Leinicke JA McNaught CE (Modified from Ergina PL, Cook JA, Blazeby JM, Boutron I, Clavien PA, Reeves BC, et al. ( : 643 Centers for disease control and prevention guideline for the prevention of surgical site infection, 2017 36 Registered Dietitian Zutshi M Chapman JS ; In selected patients, a baseline mental status examination, using a standardized format, is required. Preoperative alcohol cessation prior to elective surgery Br J Anaesth 212 Nelson G Lovely JK 195 Myers K Moshier EL No trials exist to demonstrate a reduction in postsurgical VTE with preoperative discontinuation of hormone therapy, and this practice should not be routinely recommended. Intravenous fluids should be discontinued within 24 hours after surgery because they are rarely needed in patients able to sustain oral intake. , For Thyroid Surgery ; . , Fast-track in open intestinal surgery: prospective randomized study (Clinical Trials Gov Identifier no. , Carter J Stopping smoking shortly before surgery and postoperative complications: a systematic review and meta-analysis 55 Removal of the urinary catheter, if used, within 24 hours also shortens hospital length of stay by decreasing infection risk 30. This patient population requires a unique preoperative evaluation. 2009 Pulmonary function testing may be helpful in diagnosing and assessing disease severity. Matos D Any updates to this document can be found on Seo S Cox PB Perioperative hyperglycemia, or blood glucose levels greater than 180200 mg/dL, is associated with poor clinical outcomes, including infection, increased length of stay, and postoperative mortality 56. 2016 Although the benefits of smoking cessation increase proportionally with the length of cessation, and there has been concern about short-term smoking cessation immediately before surgery, emerging research suggests that shorter-term perioperative smoking cessation does not cause harm 25 26 27. Kalogera E 245 Intraoperatively, epidural and spinal anesthesia strategies, when compared with general anesthesia, decrease overall mortality and postoperative complications, including VTE, blood loss, pneumonia and respiratory depression, myocardial infection, and renal failure 50, although such strategies limit mobilization. 136 Ljungqvist O Correction notices have been issued for this document on the Obstetrics & Gynecology website. , PPT Preoperative guidelines do not define the degree of pulmonary function impairment that would prohibit surgery other than that for lung resection.23,24 With lung resection surgery, patients with a forced expiratory volume in one second (FEV1) of less than 2 L require preoperative ventilation/perfusion studies to determine the predicted postoperative FEV1.

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