59 results
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk ... the patient’s perioperative ... event, follow ACC algorithm ... medical and surgical management ... #perioperative
Perioperative Management of DOACs
Problem:
 ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... interruption per treatment ... Surgery: 48-72 ... postoperative #DOAC #Perioperative ... #Management #Treatment
Algorithm for Suspected Penicillin Allergy in Patients Undergoing Surgery 

• Cephalosporins may be prescribed to patients
Patients Undergoing Surgery ... a 1 in 100,000 risk ... Penicillin #Allergy #Surgery ... #Algorithm #Perioperative ... Management #Protocol
Stress Dose Steroids - Medical and Surgery Indications
Minor Stress:
 • Inguinal hernia repair
 • Mid febrile
- Medical and Surgery ... : • Inguinal hernia ... cardiothoracic surgery ... Indications #Dosing #management
Perioperative IBD Pharmacotherapy Management 
Immunomodulators:
 • Stop MTX one week prior to elective surgery
 • Stop
Perioperative IBD ... Pharmacotherapy Management ... patients at high risk ... @GIreview #Perioperative ... Pharmacotherapy #medication #Management
Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root
Bleeding Risk for ... Procedures Low Risk ... cholecystectomy, hernia ... #Preoperative # ... Perioperative #Procedures
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Ulcerative Colitis - Management ... Algorithm Loss ... ≠ Treatment Failure ... #Colitis #UC #Management ... #Treatment
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... and Bloating - Treatment ... • Prior GEJ surgery ... Fundoplication, Bariatric surgery ... Distension #Bloating #Management
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism Treatment ... submassive PE (risk ... or who require surgery ... Pulmonary #Embolism #Treatment ... #AcutePE #Management
Microscopic Colitis - Management Algorithm
Induction: Budesonide 9 mg daily, 6 to 8 weeks
Maintenance: Budesonide low-dose (3-6
Microscopic Colitis - Management ... Algorithm Induction ... , vedolizumab, surgery ... Microscopic #Colitis #Management ... #Algorithm #treatment