19 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
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
Perioperative Management of DOACs
Problem:
 ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... interruption per treatment ... Surgery: 24 hours ... Surgery: 48-72 ... #Management #Treatment
Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root
Bleeding Risk for ... Procedures Low Risk ... #Preoperative # ... Perioperative #Procedures ... #Table #Stratification
HEART Score – A Tool For the ED The HEART score is an excellent tool that
admission for further workup ... and treatment versus ... calculating the risk ... identifying low risk ... #Score #MACE #Stratification
Risk Stratification for DVT-VTE Among Surgical Inpatients
High risk 
 - Recent major orthopedic surgery/arthroplasty/fracture 
 -
Risk Stratification ... major orthopedic surgery ... cancer undergoing surgery ... immobilization (> 72 hours) preoperatively ... #Stratification
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
nutrients • TPN for treatment ... are risk factors ... operative CCY risk ... excluded limb • Treatment ... gastroenterology #diagnosis #differential
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... anaesthesia #Perioperative ... #Hyperthermia #Differential ... Diagnosis #Management #Workup
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Assess for high risk ... • Cardiac surgery ... Pulse deficit/differential ... deficit • Shock Treatment