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preoperative risk diagnosis acs assessment bleeding cad cardiovascular evaluation hypothermia instruments laparoscopic laparoscopy management preop procedures protocol stresstest treatment
Approach to Perioperative Cardiovascular Evaluation for Patients underqoinq Noncardiac Surgery 1. Emergent Surgery? 2. Risk Stratify eg NSQIP 3.
Approach to Perioperative ... underqoinq Noncardiac Surgery ... Emergent Surgery ... Risk Stratify eg ... Assessment #diagnosis #stratification
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
the patient’s perioperative ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... Risk #Evaluation #stratification
Bleeding Risk for Various Invasive/Surgical Procedures Low Risk: • Dental extractions (1 or 2 teeth), endodontic (root
pacemaker insertion or internal ... Bleeding #Risk #Preoperative ... #Perioperative ... #Procedures #Table ... #Stratification
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 stratification ... evaluation of stable
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 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
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
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