11 results
Perioperative Management of DOACs
Problem:
 ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... per treatment table ... and procedural bleeding ... with a very low bleeding ... Therapy • Low Bleed-Risk
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... Suspected lower GI bleeding ... ) vs Stable Patient ... LGIB #GIBleed #management
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Diagnosis and Management ... may be herald bleed ... Typical "herald bleed ... patients with massive bleed ... Management: SURGERY
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Abnormal Uterine Bleeding ... Hemodynamically stable ... cancer, liver dysfunction ... Abnormal #Uterine #Bleeding ... #Management #Obstetrics
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... RP bleed) • Hypovolemic ... Classification #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... RP bleed) • Hypovolemic ... Classification #diagnosis #management
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI Bleed ... non-therapeutic, massive bleed ... may obscure bleeding ... #GIBleed #management ... gastroenterology #table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
END-ORGAN DYSFUNCTION ... Hemorrhagic → leading ... gastrointestinal bleeding ... Types #diagnosis #management ... warm #wet #dry #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Performance thorough ... with valvular dysfunction ... or LV dysfunction ... - what is the bleeding ... medical and surgical management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Idiopathic LV dysfunction ... thrombus, RV systolic dysfunction ... Management during ... Delivery • Stable ... Period • Breast-feeding