Surgical Prophylaxis

Infectious Diseases Society of America (IDSA) & the Surgical Infection Society (SIS) guidelines

Breast

Cardiac

Gastrointestinal

Genitourinary

Head & Neck

Neurosurgery

Percutaneous

Thoracic

OBG

Orthopedic

Vascular

Summary

• clear liquids 200 mL –2 hrs (clear liquids - APPY juice, lime juice, tender coconut water, ORS solution)

• breast milk – 4 hrs, nonhuman milk, formula feed

• light meal (toast/cereal with clear liquid), enteral tube feeds – 6 hrs

• fried or fatty food – 8 hrs, meat - 12 hrs

• TPN - should not be abruptly stopped during perioperative period, if TPN is to be stopped for some reason, dextrose containing iv fluids shall be administered and sugars to be monitored q2 hrly + sos

• medications advised in PAC order to be given with sips of water, no scheduled medication prescribed shall be omitted during NPO period

• OHA & ACE inhibitors to be skipped on the day of surgery

Fasting guidelines

Anticoagulant Antiplatelet Guidelines

American Society of Regional Anesthesia and Pain Medicine guidelines 2018

Guidelines

Neuraxial procedures

Surgical procedures

Quick reference

Neuraxial procedures

Surgical procedures