Perioperative management

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The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) has published guidelines and recommendations to standardize and improve surgical care. Section 2.4 of the guidelines includes a set of measures created by the Surgical Care Improvement Project (SCIP) referred to as the SCIP guidelines (available at QualityNet). The SCIP guidelines are published as part of a continually evolving manual that is intended to provide standard quality measures to unify documentation and track standards of care. The SCIP guidelines target complications that account for a significant portion of preventable morbidity as well as cost. Seven SCIP initiatives pertain to perioperative care. Among the general recommendations are the following:

Maintain a near-normal blood glucose level (eg,