DOCSLIB.ORG

Colorectal Surgery Institute After You Complete Your Visit with Our Nurse, Dr

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Colorectal Surgery Institute After You Complete Your Visit with Our Nurse, Dr Dear Patient, Your appointment with Dr. Garza will begin with our Nurse who will review your medical Robert W. Beart, M.D. history, pharmacy and medication information. Medical Director Colorectal Surgery Institute After you complete your visit with our nurse, Dr. Garza will discuss the nature of your Petar Vukasin, M.D. Colorectal Surgery problem with you. Dr. Garza may perform an examination, which may include an anoscopy or proctoscopic examination. AnaMaria Garza, M.D. Colorectal & General Surgery Jocelyn Moon, PA-C IMPORTANT – PLEASE BRING THE FOLLOWING ITEMS WITH YOU FOR YOUR APPOINTMENT: The enclosed Patient Questionnaire forms – please be sure to complete these before arriving for your appointment, including pharmacy and medications. All insurance cards, claim forms and drivers license. Pertinent operative reports, pathology reports, x‐ray films and their reports, diagnostic tests and their reports, and lab reports from your current physician. Should you have any questions, please feel free to contact me by phone at 818‐244‐8161, or e‐mail at [email protected] We look forward to meeting you and the opportunity to participate in your care. Sincerely, Colorectal Surgery Institute Attachments: Patient Medical History (Please complete) Patient Information (Please complete) Consent Form (Please complete) CSI‐GMH Patient Billing Information Conditions of Admission ‐ Glendale Memorial Hospital Maps and Directions – Glendale Memorial Hospital & Colorectal Surgery Institute 222 West Eulalia Street Dignity Health Glendale Memorial Hospital and Health Center Suite 100A and their team of Gastrointestinal Physicians and Surgeons Glendale, CA 91204 HEALTHGRADES 2014‐2015 CLINICAL AWARDS: PH 818.244.8161 FAX 818.244.5122 Gastrointestinal Care Excellence Award colorectalsurgeryinstitute.org Five‐Star Recipient for Colorectal and Small Intestine Surgeries PATIENT MEDICAL HISTORY Date: / / Name: Age: Sex: Race: Marital Status: S M Div Wid Sep Occupation: Referring Diagnosis: REFERRED BY: Physician Glendale Memorial Hospital Family Friend Website Facebook REFERRING PHYSICIAN: Address: City: State: Zip: PLEASE LIST THE NAMES OF OTHER PHYSICIANS CARING FOR YOU Primary Care Physician: Name: City/State: Internist: Name: City/State: Gastroenterologist: Name: City/State: Cardiologist: Name: City/State: Oncologist: Name: City/State: Other: Name: City/State: CHIEF COMPLAINT (and duration): HISTORY OF PRESENT ILLNESS: FAMILY HISTORY OF COLON PROBLEMS: FAMILY HISTORY OF ANY TYPE OF CANCER: LIST PERTINENT FAMILY, SOCIAL &/OR PERSONAL HISTORY Use This Space for Additional Information Anesthetic Complications: Alcohol: Tobacco: Recreation Drugs: LIST ALL PREVIOUS SURGICAL PROCEDURES & COLONOSCOPIES Date: Date: Date: Date: Date: PATIENT LABEL Page 1 of 3 CHECK APPROPRIATE BOXES – No check means not asked Have You Ever Had: Yes No ? Major trauma YOUR PHARMACY CONTACT INFORMATION: Yes No ? Heart attack or heart condition Pharmacy name: Yes No ? Stroke/TIA Address: Yes No ? Alcoholism/Drug Abuse Yes No ? Diabetes Type I-II Phone: ( ) Fax: ( ) Yes No ? Venereal disease Yes No ? Communicable disease such as TB, Typhoid fever, Amebiasis, etc. Yes No ? Hepatitis LIST ALL DRUGS THAT YOU TAKE ROUTINELY Yes No ? MRSA, CDIFF Drug Dose/Day How Long Yes No ? Blood or plasma transfusion reaction Yes No ? Horse serum (TAT, GAT) reaction Yes No ? Penicillin or Sulfa reaction Yes No ? Anxiety, depression, bipolar Yes No ? Increased cholesterol Yes No ? Increased triglycerides Yes No ? Chronic heart failure Yes No ? Renal insufficiency/failure Yes No ? Cancer Yes No ? Blood thinners Yes No ? Asthma, emphysema, COPD (chronic Obstructive pulmonary disease) Yes No ? Autoimmune Disease Other: LIST ALL KNOWN DRUG (OR OTHER) ALLERGIES BELOW AND TYPE OF REACTION (I.E.: RASH, ANAPHYLAXIS, SHORTNESS OF BREATH, ETC.) WITHIN THE PAST SIX MONTHS, HAVE YOU TAKEN: Drug Reaction Yes No ? Digitalis Yes No ? Anti-convulsants Yes No ? Anti-hypertensive agents Yes No ? Corticosteroids Yes No ? Narcotics Yes No ? Blood thinners Use This Space for Additional Information IMMUNIZATION HISTORY: Tetanus Date: Pneumonia Date: Influenza Date: Polio Date: Measles, Mumps, Rubella Date: Other Date: REVIEW OF CURRENT SYMPTOMS: Check appropriate box GENERAL: Yes No ? Chills Yes No ? Fever Yes No ? Weight Change Yes No ? Skin Change PATIENT LABEL Page 2 of 3 – Patient Medical History Review of Current Symptoms (continued) EYES: Use This Space for Additional Information Yes No ? Loss of Vision Yes No ? Double Vision Yes No ? Eye Pain ENT: Yes No ? Ear Pain Yes No ? Deafness Yes No ? Bleeding Nose Yes No ? Hoarseness Yes No ? Difficulty Swallowing CARDIORESPIRATORY: Yes No ? Cough Yes No ? Chest pain or Shortness of Breath Yes No ? Blood with Coughing Yes No ? Leg Swelling GASTROINTESTINAL: Yes No ? Poor Appetite Yes No ? Nausea and Vomiting Yes No ? Constipation or Diarrhea Yes No ? Change in Bowel Habits Yes No ? Jaundice Yes No ? Abdominal Pain Yes No ? Anal Bleeding Yes No ? Anal Pain GENITOURINARY: Yes No ? Frequency, Urgency, or Incontinence Yes No ? Urgency Yes No ? Blood in Urine Yes No ? Stones or Gravel Yes No ? Urethral Discharge Yes No ? Incontinence NEUROPSYCHIATRIC: Yes No ? Headaches Yes No ? Seizures Yes No ? Paralysis Yes No ? Anxiety/depression Yes No ? Disturbance of Gait or Speech Yes No ? Disturbing Feelings or Thoughts MUSCULOSKELETAL: Yes No ? Back Pain Yes No ? Bone Infections Yes No ? Skeletal Deformities Yes No ? Joint Pain or Swelling Yes No ? Varicose Veins Yes No ? Leg Ulcers OB-GYN # Pregnancies # Vaginal Deliveries # C-Sections Yes No ? Episiotomy – If yes, # Yes No ? Non-menstrual bleeding Yes No ? Excessive Menstrual Flow Yes No ? Irregular Menstrual Flow Yes No ? Pelvic Pain Last Menstrual period PATIENT LABEL Page 3 of 3 – Patient Medical History PATIENT INFORMATION Date: / / Name: Date of Birth: / / _ Sex: M F First Name Middle Initial Last Name Home Address: Street Address City, State Zip Code Home Phone: ( ) Cell Phone: ( ) Other Phone: ( ) Preferred Phone: Home Phone Cell Phone Other Phone Marital Status: Married Divorced Legally Separated Life Partner Single Widowed Unknown Race/Ethnicity: Asian-Pacific Islander Black-African American Caucasian Hispanic American Indian Eskimo Other Primary Language: Religious Preference: Occupation: Social Security #: Employment Status: Full Time Part Time Self Employed Unemployed Retired Active Military Duty Do You Have Advanced Directives: Yes No If Yes, please bring a copy to the hospital Emergency Contact: Relationship: First Name Middle Initial Last Name Home Phone: ( ) Cell Phone: ( ) Other Phone: ( ) Address: Street Address City, State Zip Code PATIENT LABEL AnaMaria McElrath‐Garza, M.D. Consent Form 1. CONSENT FOR TREATMENT I hereby authorize my consent to be treated now and in the future by Dr. AnaMaria McElrath‐Garza. 2. ASSIGNMENT OF BENEFITS I hereby authorize Dr. McElrath‐Garza to furnish information to insurance carriers concerning this illness. I hereby irrevocably assign to Dr. McElrath‐Garza all payments for medical services rendered and all major medical benefits. 3. MEDICARE AUTHORIZATION TO RELEASE INFORMATION & PAYMENT REQUEST I certify that the information given by me in applying for payment under Title XVIII of the Social Security Act is correct. I authorize any holder of medical or other information about me to release to the Social Security Administration or its intermediaries or carriers any information needed for this or a related Medicare claim. I request that payment of authorized benefits be made on my behalf. I assign benefits payable for physician’s services to the physician or organization furnishing the services. 4. RELEASE OF INFORMATION FOR BENEFITS I authorize release of any information acquired in the course of my examination or treatment, which may be needed for the payment of professional charges and related services. 5. RELEASE OF INFORMATION TO COLORECTAL AFFILIATES I authorize the release of my medical information to other facilities for the purpose of diagnosis and treatment at the request of my physician, or its disclosure is required or permitted by law. 6. FINANCIAL AGREEMENT I understand that charges for facility, any diagnostic tests will be in addition to the consultation fee, and that I am directly financially responsible for all charges, including deductibles and co‐payments incurred for medical services and/or surgical procedures rendered for myself and/or my dependents whether or not they are covered by valid insurance benefits and any balance due and owing for all non covered out of the network services. I understand that if I am in an HMO and elect to see Dr. McElrath‐Garza using my out of network benefits then Dr. McElrath‐Garza will not retroactively put the billing through as though she were within the HMO. I agree to pay any legal interest, collection expense, and attorney’s fees or other costs incurred should it become necessary to assign any amount I may owe for collection. 7. PERSONAL AFFIRMATION I certify that all statements given to Dr. McElrath‐Garza and personnel are complete and accurate to the best of my knowledge. A copy of this agreement should be considered as effective and valid as the original. This agreement will continue until revoked by me in writing. Patient Name Medical Record # Date Patient/Guarantor Signature (Guarantor Relationship) Date Witness Signature Remarks 222 West Eulalia Street Suite 100A Glendale, CA 91204 PH 818.244.8161 FAX 818.244.5122 colorectalsurgeryinstitute.org Colorectal Surgery Institute / Glendale
Load more

Recommended publications
  • Hepatic Surgery
    Hepatic Surgery Honorary Editors: Tan To Cheung, Long R. Jiao Editors: Zhiming Wang, Giovanni Battista Levi Sandri, Alexander Parikh Associate Editors: Yiming Tao, Michael D. Kluger, Romaric Loffroy Editors: Zhiming Wang, Giovanni Battista Levi Sandri, Levi Battista Giovanni Alexander Parikh Hepatic Surgery Honorary Editors: Tan To Cheung, Long R. Jiao Editors: Zhiming Wang, Giovanni Battista Levi Sandri, Alexander Parikh Associate Editors: Yiming Tao, Michael D. Kluger, Romaric Loffroy AME Publishing Company Room C 16F, Kings Wing Plaza 1, NO. 3 on Kwan Street, Shatin, NT, Hong Kong Information on this title: www.amegroups.com For more information, contact [email protected] Copyright © AME Publishing Company. All rights reserved. This publication is in copyright. Subject to statutory exception and to the provisions of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of AME Publishing Company. First published in 2018 Printed in China by AME Publishing Company Editors: Zhiming Wang, Giovanni Battista Levi Sandri, Alexander Parikh Hepatic Surgery (Hard Cover) ISBN: 978-988-78919-1-8 AME Publishing Company, Hong Kong AME Publishing Company has no responsibility for the persistence or accuracy of URLs for external or third-party internet websites referred to in this publication, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate. The advice and opinions expressed in this book are solely those of the authors and do not necessarily represent the views or practices of the publisher. No representation is made by the publisher about the suitability of the information contained in this book, and there is no consent, endorsement or recommendation provided by the publisher, express or implied, with regard to its contents.
    [Show full text]
  • DDSI Week 2019 Brochure
    DDSI WEEK 2019 Digestive Disease & Surgery Institute Week 30th Anniversary Jagelman 40th Anniversary Turnbull International Colorectal Disease Symposium February 14-16, 2019 Marriott Harbor Beach Resort & Spa Fort Lauderdale, Florida 3rd Annual Pelvic Dissection taTME Cadaver Lab February 13, 2019 | M.A.R.C., Coral Gables, Florida Get your CME and MOC Points (ABS & ABIM) Call for Abstracts Deadline: November 15, 2018 8th Annual Gastroenterology and Hepatology Symposium February 14-16, 2019 Marriott Harbor Beach Resort & Spa Fort Lauderdale, Florida REGISTER ONLINE AT www.ccfcme.org/DDSI-Week 30th Anniversary Jagelman / 40th Anniversary Turnbull International Colorectal Disease Symposium February 14-16, 2019 #ccfcrs19 3rd Annual Pelvic Dissection taTME Cadaver Lab #ddsiweek19 February 13, 2019 Please join us as we celebrate our 30th Anniversary Who Should Attend? David G. Jagelman MD / 40th Anniversary Rupert Physicians, residents, fellows, nurses, wound care B. Turnbull MD International Colorectal Disease professionals, physician assistants, and allied health Symposium as part of our annual Digestive Disease professionals specializing in colorectal surgery, general and Surgery Institute Week (DDSI). This internationally surgery, laparoscopic surgery, endoscopic surgery and acclaimed gathering of surgeons from around the world gastroenterology. will be held from February 14-16, 2019 at the newly remodeled Marriott Harbor Beach Resort & Spa in Fort Lauderdale. This special anniversary course is paying Sessions tribute to the more than 1,000 surgeons from the USA Wednesday, Feb 13 and virtually every other country who have trained 3rd Annual Pelvic Dissection taTME Cadaver Lab as clinicians and/or researchers at Cleveland Clinic, Location: M.A.R.C. (Miami Anatomical Research in Florida and/or in Ohio.
    [Show full text]
  • Optimal Iron Replacement for Colorectal Cancer-Induced Anaemia Roderick J
    The Open Colorectal Cancer Journal, 2010, 3, 27-31 27 Open Access Optimal Iron Replacement for Colorectal Cancer-Induced Anaemia Roderick J. Alexander*, Alison Alexander, Sue Surgenor, Elizabeth J. Williams and Guy F. Nash Poole General Hospital, Longfleet Rd, Poole, Dorset BH15 2JB, UK Abstract: Introduction: Iron deficiency anaemia (IDA) is commonly a result of colorectal cancer. Higher preoperative haemoglobin (Hb) is associated with an improved post-operative survival. The endpoint of normalising patients Hb is to reduce the need for perioperative blood transfusion which has oncological, safety and economic benefits. Methods: This study aims to compare the overall effect and cost between oral iron and two forms of parenteral iron, in raising the Hb of 53 consecutive colorectal cancer patients with IDA. The pre- and post-treatment Hb were measuring over time for oral and two formulations of parenteral iron (CosmoFer® and Venofer®), as were the need for supplemental pre-operative blood transfusions. The Total Hb rise and Hb rise/day were calculated as was the overall cost (including blood transfusions) in each of the three iron supplementation groups. Results: Both total Hb rise and Hb rise/day were significantly higher in the Venofer® (p=0.048, p=0.002) and CosmoFer® groups (p=0.034 & p=0.001) over oral iron. The oral iron group required significantly more blood than the Venofer® (p=0.04) and CosmoFer® groups (p=0.01). Although there was a trend for oral iron to cost more than parenteral, this did not reach significance. Conclusions: This study suggests that the end point of transfusion reduction is possible by the increased Hb rise rate of Venofer® or CosmoFer®.
    [Show full text]
  • Preparing for Your Colorectal Surgery Important Contact Information
    Preparing For Your Colorectal Surgery Important Contact Information Your surgeon’s name: __________________________________________________________________ Your surgeon’s phone number: (______) ___________________________________________________ Your colorectal nurse navigator’s name: ________________________________________________ Your colorectal nurse navigator’s phone number: (______) _______________________________ Welcome to Tampa General Hospital Tampa General Hospital Pre-admission Testing Center phone number: (______) ___________________________________ Welcome to Tampa General Hospital (TGH). We are committed to your comfort and safety and want to do everything we can to make your stay as pleasant as possible. The information in this booklet will help you prepare for your surgery and recovery. We encourage you to read it and if you have any questions, ask the doctors and nurses caring for you. If you have family members, caregivers or friends caring for you, please have them read this book and also Dates to Remember encourage them to ask questions about anything that may be of concern. Date and time of Pre-admission Testing Center appointment: ____________________________ Date and arrival time for surgery: _______________________________________________________ Date and time of post surgery clinic visit: ________________________________________________ Other Appointments (as applicable) Ostomy Clinic date and time: ____________________________________________________ Primary care physician date and time: ___________________________________________
    [Show full text]
  • The American Society of Colon and Rectal Surgeons Clinical Practice
    CLINICAL PRACTICE GUIDELINES The American Society of Colon and Rectal Surgeons Clinical Practice Guideline for the Prevention of Venous Thromboembolic Disease in Colorectal Surgery Fergal Fleming, M.D. • Wolfgang Gaertner, M.D. • Charles A. Ternent M.D. Emily Finlayson, M.D., M.S. • Daniel Herzig, M.D. • Ian M. Paquette, M.D. Daniel L. Feingold, M.D. • Scott R. Steele, M.D. Prepared by the Clinical Practice Guidelines Committee of The American Society of Colon and Rectal Surgeons he American Society of Colon and Rectal Surgeons ing the propriety of any specific procedure must be made is dedicated to ensuring high-quality patient care by the physician in light of all the circumstances presented Tby advancing the science, prevention, and manage- by the individual patient. ment of disorders and diseases of the colon, rectum, and anus. The Clinical Practice Guidelines Committee is com- posed of society members who are chosen because they STATEMENT OF THE PROBLEM have demonstrated expertise in the specialty of colon and Venous thromboembolism (VTE), which includes deep rectal surgery. This committee was created to lead interna- venous thrombosis (DVT) and pulmonary embolism tional efforts in defining quality care for conditions related (PE), is a serious health problem in the United States, with to the colon, rectum, and anus. This is accompanied by de- an estimated 600,000 to 900,000 cases occurring annu- velopment of clinical practice guidelines based on the best ally.1,2 Venous thromboembolism is a common and often available evidence. These guidelines are inclusive but not morbid complication of any major surgery.
    [Show full text]
  • Your Guide to Colorectal Surgery
    Your Guide to Colorectal Surgery Preparing for and Recovering from Surgery Patient Name Your Surgeon Index: Your Checklist ................................................... 2 Getting Ready for Surgery .............................. 7 The Day of Surgery .......................................... 18 Planning for Recovery and Going Home ...... 23 Concerns After Discharge .............................. 28 Notes ................................................................... 33 Important Contact Numbers.......................... Inside Back Cover ii | Your Guide to Colorectal Surgery Welcome to the Johns Hopkins Department of Surgery. Preparing for surgery can be overwhelming. You may be receiving a lot of information. Know that the Johns Hopkins colorectal surgery team is here to help you from beginning to end. This booklet includes details about: . Getting ready for your surgery . What to expect on the day of surgery and while recovering in the hospital . Planning for recovery and going home after surgery . What to expect once you are home It is important to remember that every patient is different. Your care team will tailor your recovery program to your needs. Please try to read this booklet as soon as you are able to and bring it with you to all of your appointments and hospitalizations. Keep track of your questions and be sure to ask your surgical team when you see them, or call our office at 410-955-7323, option 3. It is important for you, your family and your friends to understand what to anticipate so that everyone can fully participate in your recovery. Best wishes for a speedy recovery! The Johns Hopkins Colorectal Surgery Team Your Guide to Colorectal Surgery | 1 Your Checklist 2 | YYourour GuideGuide to to ColoColorrectalectal SurgeSurgerryy Y our Patient Name: Date of Surgery: Ch e cklist Use this summary checklist as a guide to what you need to do to prepare for your surgery and recovery after surgery.
    [Show full text]
  • Incidence and Risk Factors of Portomesenteric Venous Thrombosis
    Manigrasso et al. World Journal of Surgical Oncology (2019) 17:195 https://doi.org/10.1186/s12957-019-1739-9 RESEARCH Open Access Incidence and risk factors of portomesenteric venous thrombosis after colorectal surgery for cancer in the elderly population Michele Manigrasso1, Marco Milone1,2*, Nunzio Velotti3, Sara Vertaldi1, Pietro Schettino1, Mario Musella3, Giovanni Aprea1, Nicola Gennarelli1, Francesco Maione1, Giovanni Sarnelli1, Pietro Venetucci3, Giovanni Domenico De Palma1 and Francesco Milone3 Abstract Background: Although it is known that portomesenteric venous thrombosis (PMVT) is associated with total colectomy and proctocolectomy in young patients with inflammatory bowel disease, little is known about incidence and risk factors of PMVT among the elderly population undergoing colorectal surgery for cancer. Methods: Data of elderly patients (> 70 years) undergoing surgery for colorectal cancer were retrospectively registered. The occurrence of PMVT was correlated with the patients’ characteristics and operative variables. Data collected included age, sex, obesity, ASA score, tumor degree, type of surgical resection, surgical approach (laparoscopic or open), and duration of surgery (from skin incision to the application of dressings). Results: A total of 137 patients > 70 years who underwent surgery for colorectal cancer and developed an acute intraabdominal process with suggestive symptoms, needing a CT scan, were included. Three of these patients (2.1%) had portomesenteric venous thrombosis during the study period, which was proved with CT scan. There were no significant patients’ characteristics or operative variables between patients with or without the occurrence of PMVT after surgery. Of interest, only operative time was significantly higher in patients with PMVT after surgery (256 ± 40 vs 140 ± 41, p < 0.001).
    [Show full text]
  • The Impact of Liver Disease and Serum Albumin Jonathan Montomoli
    Short-term prognosis after colorectal surgery: The impact of liver disease and serum albumin PhD dissertation Jonathan Montomoli Health Aarhus University Department of Clinical Epidemiology, Aarhus University Hospital Supervisors and collaborator Henrik Toft Sørensen, MD, PhD, DMSc, professor (main supervisor) Department of Clinical Epidemiology, Aarhus University Hospital, Denmark Tove Nilsson, MD, DMSc, external clinical associate professor (supervisor) Department of Clinical Epidemiology, Aarhus University Hospital, Denmark Rune Erichsen, MD, PhD, external researcher (collaborator) Department of Clinical Epidemiology, Aarhus University Hospital, Denmark Assessment committee Henrik Højgaard Rasmussen, MD, PhD, professor Department of Gastroenterology and Hepatology, Aalborg University Hospital, Denmark Lars Lund, MD, DMSc, professor Department of Urology, Odense University Hospital, Denmark Niels Kristian Aagard, MD, PhD (chairman) Department of Medicine V, Aarhus University Hospital, Denmark ii Preface I clearly remember my first time in Denmark. I arrived March 5th 2008 and spent three months working on my bachelor thesis. It was my first experience with research and, definitely, ignited my interest in hepatology. Many events occurred since then but with no doubt, nothing would have happened if professor Bianchi had not been persuaded by my repeated plea to go abroad, and professor Vilstrup had not graciously accepted to host an Italian student at the Department V for a research project. The enthusiasm at the end of the three months was the reason for my return to Denmark in January 2010, looking for a research position. That was when I first met professor Henrik Toft Sørensen. I left our first meeting feeling that he might be the mentor I was looking for and I was right! His endless knowledge, meticulous attention to detail, and his ability to keep sight of the overall project, continuously stimulated me to improve my work and explain my research decisions.
    [Show full text]
  • Pathway for Enhanced Recovery After Spinal Surgery-A Systematic Review of Evidence for Use of Individual Components
    medRxiv preprint doi: https://doi.org/10.1101/2020.08.16.20175943; this version posted August 17, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC-ND 4.0 International license . Enhanced Recovery After Spinal Surgery Scientific Title: Pathway for Enhanced Recovery after Spinal Surgery-A Systematic Review of Evidence for use of Individual Components Corresponding Author Dr Ana Licina Mailing Address: 145 Studley Road Heidelberg Victoria 3084 Phone no : +61394963000 Word count: Abstract 354 Background 398 Methods 1215 Results 363 Discussion 7012 Total excluding abstract and references: 8988 Abbreviated title: Enhanced Recovery Elements in Spinal Surgery Author and Contributor: Dr Ana Licina MBChB FANZCA PGDipCU MCRM [email protected] Dr Andrew Silvers MBBS(Hons) FANZCA Monash Health, Clayton, Australia, Faculty of Medicine, Nursing and Health Science, Monash University, Melbourne, Victoria, Australia [email protected] Dr Harry Laughlin MBBS [email protected] Dr Jeremy Russell MBBS FRCS [email protected] Dr Crispin Wan 1 NOTE: This preprint reports new research that has not been certified by peer review and should not be used to guide clinical practice. medRxiv preprint doi: https://doi.org/10.1101/2020.08.16.20175943; this version posted August 17, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC-ND 4.0 International license .
    [Show full text]
  • A Nationwide Analysis of Postoperative Deep Vein Thrombosis and Pulmonary Embolism in Colon and Rectal Surgery
    A Nationwide Analysis of Postoperative Deep Vein Thrombosis and Pulmonary Embolism in Colon and Rectal Surgery Zhobin Moghadamyeghaneh & Mark H. Hanna & Joseph C. Carmichael & Ninh T. Nguyen & Michael J. Stamos Abstract There are limited data regarding predictive factors of postoperative venous thromboembolism (VTE) in patients undergoing colorectal resection. We sought to identify associations between patient comorbidities and postoperative VTE in colorectal resection. The National Surgical Quality Improvement Program(NSQIP) database was used to examine clinical data of patients experiencing postoperative VTE after colorectal resection from 2005 to 2011. Multivariate analysis using logistic regression was performed to quantify risk factors of VTE.We sampled 116,029 patients undergoing colorectal resection. The rate of VTE was 2 % (2,278) with 0.2 % (182) having deep vein thrombosis (DVT) and pulmonary embolism (PE). The first week after operation was the most common time for postoperative VTE. A significant number of patients suffering DVT and PE were diagnosed after index hospital discharge (PE 34.6 %, DVT 29.3 %). The most important risk factors identified for DVT include (P<0.05) ASA score >2 (adjusted odds ratio (AOR) 1.77) and hypoalbuminemia (serum albumin level <3.5 mg/dl) (AOR 1.69). The most important factors had associations with PE include (P<0.05) DVT (AOR 14.60) and disseminated cancer (AOR 1.70). Ulcerative colitis (AOR 1.48, P=0.01) and stage 4 cancer (AOR 1.29, P=0.02) have associations with DVT. Open colorectal procedures have higher risk of DVT compared to laparoscopic procedures (AOR 1.33, P<0.01). Postoperative VTE occurs in 2 % of colorectal resections.
    [Show full text]
  • Your Guide to Colorectal Surgery - Preparing and Recovering from Surgery
    Your Guide to Colorectal Surgery - Preparing and Recovering from Surgery Patient Name Your Surgeon Your Surgeon’s Office Table of Contents Abdominal Surgery and Enhanced Recovery Overview …………………....2 Important Contact Numbers …………………………………………………....3 Your Surgery Checklist ……………………………………………………….…4 Pre-Surgery Planner …………………………………………………………….7 Before Your Surgery …………………………………………………………….8 Bowel Preparation on the Day Before Surgery…….………………………..10 On the Day of Surgery …………………………………………………………13 After Your Surgery – On the Day of Surgery (Post-Op Day 0) ……………15 The Day After Surgery (Post-Op Day 1) ……………………………………..16 Two Days After Surgery (Post-Op Day 2) ………………………...…………16 Planning for Discharge…………………………………………………………17 Discharge ………………………………….……………………………………18 At Home After Discharge ……………………………………………………...19 Notes …………………………………………………………….………………21 1 Abdominal Surgery Instructions ENHANCED RECOVERY AFTER SURGERY Your surgeon has determined that you a good candidate for our Enhanced Recovery after Surgery (ERAS) Program. This program uses the best practices in surgical care. It will help you recover and get home as quickly and as safely as possible after your surgery. Please read this handout about ERAS to get the most out of the program. Information on the ERAS program is also available at http://eras.surgery.ucsf.edu OUR APPROACH TO RECOVERY AFTER COLON AND RECTAL SURGERY Your surgical team will: Use the most modern anesthesia methods Promote return of bowel function as quickly as possible Use best practices for diet, bowel preparation,
    [Show full text]
  • Principles of Privileging and Credentialing for Endoscopy and Colonoscopy
    Joint Statement by the American Society for Gastrointestinal Endoscopy, the Society of American Gastrointestinal Endoscopic Surgeons, and the American Society of Colorectal Surgeons Principles of privileging and credentialing for endoscopy and colonoscopy Granting privileges for GI endoscopy should be substantiated by documentation provided by the applicant from Residency Program Directors, Ensuring that high-quality endoscopy is provided to Chiefs of Service, or other members of the teaching the public has been one of the main principles of the faculty who have directly observed the applicant per- ASGE for many years. Appropriate training in GI forming endoscopy. Individuals applying for privi- endoscopy is critical to providing quality endoscopists. leges for EGD and colonoscopy should have demon- ASGE’s training guidelines call for acquisition of strated satisfactory completion of an Accreditation endoscopic skills in the context of training programs in Council for Graduate Medical Education-accredited gastroenterology or surgery and for an assessment of training program in adult or pediatric gastroenterol- endoscopic skill after a threshold number of proce- ogy, general surgery, colorectal surgery, or pediatric dures has been performed. There has been considerable surgery. Attestation to competency in the perfor- variability among professional societies in the num- mance of these techniques should therefore be pro- bers of procedures required to assess the competence of vided by the Program Director and, if deemed neces- trainees. As additional studies have been performed, it sary, by the Credentialing or Privileging Committee is clear that more procedures are needed than were at the institution at which these privileges are being previously recommended to ensure competency.
    [Show full text]