Clinical Pathway for Thyroidectomy

Cirugía española
Jesús María Villar del MoralSusana Ros López

Abstract

Clinical pathways are care plans applicable to patient care procedures that present variations in practice and a predictable clinical course. They are designed not as a substitute for clinical judgment, but rather as a means to improve the effectiveness and efficiency of the procedures. This clinical pathway is the result of a collaborative work of the Sections of Endocrine Surgery and Quality Management of the Spanish Association of Surgeons. It attempts to provide a framework for standardizing the performance of thyroidectomy, the most frequently performed operation in endocrine surgery. Along with the usual documents of clinical pathways (temporary matrix, variance tracking and information sheets, assessment indicators and a satisfaction questionnaire) it includes a review of the scientific evidence around different aspects of pre, intra and postoperative management. Among others, antibiotic and antithrombotic prophylaxis, preoperative preparation in hyperthyroidism, intraoperative neuromonitoring and systems for obtaining hemostasis are included, along with management of postoperative hypocalcemia.

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Citations

Oct 14, 2020·Langenbeck's Archives of Surgery·Jennifer Triguero CabreraJesús María Villar Del Moral
Jun 12, 2020·Cirugía española·Gonzalo Gutiérrez FernándezDaniel Casanova Rituerto
May 10, 2021·Cirugía española·José Luis Muñoz de NovaÁlvaro Valdés de Anca
Aug 4, 2021·Cirugia Española·José Luis Muñoz de NovaÁlvaro Valdés de Anca

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