23 results
Perioperative IBD Pharmacotherapy Management 
Immunomodulators:
 • Stop MTX one week prior to elective surgery
 • Stop
Perioperative IBD ... • Resume in CD ... patients at high risk ... @GIreview #Perioperative ... medication #Management #preoperative
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
fistula • ↑ risk ... if colonic CD ... has carcinoma risk ... Crohns #Disease #IBDAlgorithm
Approach to Perioperative Cardiovascular Evaluation for Patients underqoinq Noncardiac Surgery
1. Emergent Surgery?
2. Risk Stratify eg NSQIP
3.
Approach to Perioperative ... Risk Stratify eg ... impacts decision #Preoperative ... #Risk #Assessment
Perioperative Medications - Which Medications to Hold or Continue?
Aspirin - Continue
 • Aspirin should be continued
Perioperative Medications ... high bleeding risk ... should be initiated preoperatively ... events in the perioperative ... Continue #preop #preoperative
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk ... Stress Testing: • Preoperative ... trials) • BUT, preoperative ... patients #Preop #preoperative ... #perioperative
Revised Cardiac Risk Index - Risk of surgical complications

#Diagnosis #Preoperative #Cardiac #RiskIndex #Cardiovascular #Complications #RCRI
Revised Cardiac Risk ... Index - Risk of ... #Diagnosis #Preoperative
Practice Guidelines for Preoperative Fasting

Infographic by Dr. Jesse Burk-Rafel
@jbrafel

> 8 hours - Heavy foods (fried/fatty) and
Guidelines for Preoperative ... hunger - LOWER risk ... Guidelines for Preoperative ... to Reduce the Risk ... 2596245 #NPO #Preoperative
Algorithm for Suspected Penicillin Allergy in Patients Undergoing Surgery 

• Cephalosporins may be prescribed to patients
a 1 in 100,000 risk ... Surgery #Algorithm #Perioperative ... #Preoperative #
Pre-Op Nutrition in IBD - IBD Algorithm

Dr. Wade Billings @wabillin

#PreOp #Preoperative #Nutrition #IBDAlgorithm #IBD #Algorithm #gastroenterology
wabillin #PreOp #Preoperative ... #Nutrition #IBDAlgorithm
Asymptomatic Ileitis - IBD Algorithm

 • Found on 0.1-21% of non-diagnostic colonoscopies
 • Low likelihood of
of representing CD ... progresses to CD ... Asymptomatic #Ileitis #IBDAlgorithm