Preoperative Assessment - Related Resources

Cochrane reviews

Preoperative physical therapy appears to reduce postoperative pulmonary complications (atelectasis and pneumonia) and length of hospital stay in patients undergoing elective cardiac surgery Preoperative Physical Therapy for Elective Cardiac Surgery Patients.
Preoperative statin therapy in cardiac surgery patients appears to reduce post-operative atrial fibrillationPreoperative Statin Therapy.
Fluid intake between 1.5 and 3 hours before anaesthesia does not appear to result in an increased risk of aspiration, regurgitation, and related morbidity or increased gastric volume or increased gastric pH compared with the standard 'nil by mouth from midnight' fasting policy Preoperative Fasting for Adults to Prevent Perioperative Complications
Day-case elective laparoscopic cholecystectomy appears to be safe and effective intervention in selected patients (with no or minimal systemic disease and within easy reach of the hospital) with symptomatic gallstones Day-Case Versus Overnight Stay in Laparoscopic Cholecystectomy.
Early feeding after major abdominal gynaecologic surgery may be safe, but appears to increase the chance of having nausea. It could reduce the length of hospital stay Early Versus Delayed (Traditional) Oral Fluids and Food for Reducing Complications after Major Abdominal Gynaecologic Surgery.
There is insufficient evidence on the effectiveness of incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery Incentive Spirometry for Prevention of Postoperative Pulmonary Complications in Upper Abdominal Surgery.
There is insufficient evidence to support strict glycaemic control versus conventional management for the prevention of surgical site infections (SSIs) Peri-Operative Glycaemic Control Regimens for Preventing Surgical Site Infections in Adults.
Alpha-2 adrenergic agonists may decrease mortality and myocardial infarction (MI) during vascular surgery. These potential benefits are counterbalanced by increased risks for perioperative hypotension and bradycardia Alpha-2 Adrenergic Agonists for the Prevention of Cardiac Complications Among Patients Undergoing Cardiac Surgery.
Infraclavicular block appears to be as effective and as safe as other techniques of brachial plexus blockade for providing surgical anaesthesia of the lower arm Infraclavicular Brachial Plexus Block for Regional Anaesthesia of the Lower Arm.

Other evidence summaries

Psychoeducational care provided to adult surgical patients appears to result in beneficial effects for recovery, pain, psychological distress, and length of hospital stay Psychoeducational Programs for Adult Surgical Patients.
Regional anaesthesia reduces postoperative pneumonia compared with general anaesthesia Type of Anaesthesia and Postoperative Pulmonary Infections.

Clinical guidelines

ESC Guidelines for pre-operative cardiac risk assessment and perioperative cardiac management in non-cardiac surgery http://www.escardio.org/guidelines-surveys/esc-guidelines/GuidelinesDocuments/guidelines-perioperative-cardiac-care-FT.pdf.

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References

Preoperative Assessment - Related Resources

Cochrane reviews

Other evidence summaries

Clinical guidelines