12 results
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
metabolic equivalent able ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... Stable patients
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
are not a major risk ... • Provoked (e.g ... . surgery, trauma ... #diagnosis #algorithm ... #hematology #VTE
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
and Management Algorithm ... Risk factors: ... somatic syndromes (e.g ... chronic fatigue) Risk ... Abdominal or pelvic surgery
Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root
Bleeding Risk for ... Procedures Low Risk ... pacemaker insertion or internal ... #Bleeding #Risk ... Perioperative #Procedures #Table
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
transfused patientsl • Risk ... transfused patients • Risk ... diuresis SCVMC Internal ... Transfusion #Reactions #hematology ... diagnosis #comparison #table
Types of Bariatric Surgery
Adjustable Gastric Banding:
 • Decreasing in prevalence, 3% of bariatric surgeries performed
 •
Types of Bariatric Surgery ... common bariatric surgery ... complication rate, ↓risk ... marginal ulcers, internal ... Gastroenterology and Hepatology
Algorithm for choosing the appropriate candidate for stress testing in patients with suspected coronary artery disease
Algorithm for choosing ... metabolic equivalent; ECG ... diagnosis and risk ... evaluation of stable
Laparoscopic Instruments - Common Surgical Instruments
Many instruments are similar to those used in open surgery, adapted
those used in open surgery ... Source: Fiber optic cable ... Caution around internal ... multiple sizes, e.g ... #Laparoscopy #surgery
Essential Thrombocythemia (ET)
ET is a chronic myeloproliferative neoplasm. Most cases are related to mutations that affect
• Treatment algorithms ... appropriate only for low risk ... patients with no CV risk ... Thrombocythemia #ET #hematology ... diagnosis #management #hematology
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Lipase, CK • ECG ... Staff Cardiac Surgeon ... Staff Cardiac Surgeon ... consider doubling interval ... management #treatment #algorithm