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Don’t order baseline laboratory studies (complete blood count, coagulation testing, or serum biochemistry) for asymptomatic patients undergoing low-risk non-cardiac surgery.
Choosing Wisely Canada
Canadian Anesthesiologists' Society
Conducting baseline laboratory investigations before low-risk non-cardiac surgery contributes little value to perioperative care. A focused clinical history and physical examination may reliably identify relevant abnormalities sought by routine laboratory testing before low-risk surgery. In addition, evidence suggests that abnormal results in this setting only rarely influence management and do not improve clinical outcomes. Preoperative testing may add value in the setting of a symptomatic ...
ver más ... 2018Definitive management of entero-atmospheric fistula should be delayed to after the patient has recovered and the wound completely healed.
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The World Society for Emergency Surgery (WSES)
Grade 1C. Strong recommendation, low-quality or very low-quality evidence.
ver más ... 2018Negative pressure wound therapy is recommended in the presence of an enteroatmospheric fistula in the open abdomen.
Otros artículos/Other articles on this topic
The World Society for Emergency Surgery (WSES)
Grade 2A.Weak recommendation, high-quality evidence
ver más ... 2018It is recommended to separate the wound into different compartments to facilitate the collection of the fistula outlet in patients with entero-atmospheric fistula. Entero-atmospheric fistula effluent ...
Otros artículos/Other articles on this topic
The World Society for Emergency Surgery (WSES)
Grade 2A.Weak recommendation, high-quality evidence Entero-atmospheric fistula effluent isolation is essential for proper wound healing. Separating the wound into different compartments to facilitate the collection of fistula output is of paramount importance.
ver más ... 2018It is recomended to review and optimize the nutrition upon recognition of entero-atmospheric fistula.
Otros artículos/Other articles on this topic
The World Society for Emergency Surgery (WSES)
Grade 1C. Strong recommendation, low-quality or very low-quality evidence.
ver más ... 2018