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The Canadian Task Force for Preventive Health Care Guidelines

The Canadian Task Force for Preventive Health Care Guidelines

This recommendation applies to pregnant women who are not experiencing symptoms of a UTI and are not at increased risk for asymptomatic bacteriuria. This weak recommendation in favour of screening for asymptomatic bacteriuria in pregnancy recognizes that some women who are not at increased risk of asymptomatic bacteriuria in pregnancy and are more concerned with potential harms of antibiotics may choose not to be screened or treated for asymptomatic bacteriuria. In such circumstances, there is ...

Smarter medicine

Société suisse d’anesthésiologie et de réanimation (SSAR)

An early outpatient evaluation before any surgical procedure provides many benefits. The correct ambulatory preoperative risk assessment allows for better planning of the entire perioperative process and smooth execution of the intervention. The correction of anemia reduces the risk of blood transfusion and complications if the window of time before surgery is long enough, improves physical performance, promotes early initiation of respiratory therapy, optimizes nutritional status and reduces ...

Smarter medicine

Société suisse d’anesthésiologie et de réanimation (SSAR)

Perioperative hypothermia is a phenomenon that results from the suppression of central thermoregulation during anesthesia on the one hand, and prolonged exposure of large parts of the body during surgery to cool operating room temperatures on the other hand. The occurrence of hypothermia is, on the basis of evidence, related to postoperative complications such as wound infections, delayed healing, coagulation disorders, and increased risk of bleeding or related adverse cardiovascular events. By ...

Smarter medicine

Société suisse d’anesthésiologie et de réanimation (SSAR)

Routine preoperative diagnostic examination does little to identify patients with increased perioperative risk of complications. Pathological laboratory, ECG or chest x-ray findings are rare in this situation and do not result in changes in perioperative management, especially in interventions without increased risk. Accurate anamnesis and clinical examination with evaluation of physical performance are always decisive for risk assessment. In the case of suggestive anamnesis or limitation to ...

Smarter medicine

Société suisse d’anesthésiologie et de réanimation (SSAR)

An optimal threshold for the transfusion of erythrocyte concentrates can be determined on the basis of evidence, since different thresholds have been used in different studies for different clinical situations. However, it is clear that lowering the hemoglobin threshold to decide to transfuse reduces the number of transfusions and reduces transfusion-related morbidity and mortality. Transfusions should always consider comorbidities and clinical parameters such as the evaluation of hemodynamics ...