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diagnosis management algorithm workup cardiology anesthesia endocrinology gastroenterology pulmonary anesthesiology checklist perioperative hematology deficiency infectiousdiseases neurology nutrition treatment classification clinical
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 ... #diagnosis #stratification
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 ... #stratification
Perioperative Medications - Which Medications to Hold or Continue? Aspirin - Continue • Aspirin should be continued
Perioperative Medications ... stents unless the surgery ... should be initiated preoperatively ... Hold morning of surgery ... Continue #preop #preoperative
Perioperative IBD Pharmacotherapy Management Immunomodulators: • Stop MTX one week prior to elective surgery • Stop
Perioperative IBD ... 6MP the day of surgery ... patients at high risk ... @GIreview #Perioperative ... medication #Management #preoperative
Preoperative Risk Assessment: What is the risk of the surgery? Low Risk: • Superficial • Eyes
Preoperative Risk ... of the surgery? ... • Adrenals #Preoperative ... #diagnosis #stratification ... #surgery #cardiovascular
Risk Factors Associated with Post-operative Pulmonary Complications Preoperative • Asthma/ COPD • Recent respiratory infection •
Risk Factors Associated ... Complications Preoperative ... abdominal / thoracic surgery ... anesthesiology #anesthesia #surgery ... #causes
Risk Factors for Postoperative Pulmonary Complications #Diagnosis #Preoperative #Pulmonary #Risks #Stratification #Factors #Complications
Risk Factors for ... #Diagnosis #Preoperative ... #Pulmonary #Risks ... #Stratification
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 ... #Preoperative #
Perioperative Management of DOACs Problem: ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... effect prior to surgery ... Surgery: 24 hours ... Surgery: 48-72 ... postoperative #DOAC #Perioperative
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features • Bova score
Pulmonary Embolism - Risk ... Stratification ... class (30-day all cause ... Pulmonary #Embolism #Risk ... diagnosis #management #stratification
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