58 results
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 for Postoperative Pulmonary Complications

#Diagnosis #Preoperative #Pulmonary #Risks #Stratification #Factors #Complications
Risk Factors for ... #Diagnosis #Preoperative ... #Pulmonary #Risks ... #Stratification
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
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 #
MGH Laboratories for diagnosis, prognosis / risk stratification, and/or safety of agents
Suggested for hospitalized patients with
diagnosis, prognosis / risk ... stratification, ... suspected COVID-19 #Workup
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