Perioperative Medicine
Readings and Practice
General Consult Issues
- Ten Commandments for Effective Consultations (Arch Int Med, 1983)
- Principles for Effective Consultation (Arch int Med, 2007)
- ASA Classification
- ASA III & IV
- VTE Risk Assessment-Caprini
- Preoperative Medical Assessment Reference (Montefiore document)
- Duke Activity Status Index (10.25 points = >4METS)
- Elements of the Preoperative Assessment
- Perioperative Medications - Gina Lee
- Postop Respiratory Failure Risk Index (Arozullah, Ann Surg 2000)
- Postop Respiratory Failure Risk Index (ARISCAT, Anesthes 2010)
- LP Checklist
UpToDate
General
- Preoperative medical evaluation of the healthy patient (Aug 2016)
- Perioperative medication management (Feb 2016)
- Overview of the principles of medical consultation and perioperative medicine (Sep 2016)
Cardiac
- Management of cardiac risk for noncardiac surgery (Sep 2016)
- Evaluation of cardiac risk prior to noncardiac surgery (June 2016)
- Perioperative myocardial infarction after noncardiac surgery (Nov 2016)
- Management of periop heart failure in patients undergoing noncardiac surgery (Feb 2016)
- Noncardiac surgery after percutaneous coronary intervention (May 2016)
- Perioperative management of hypertension (Sep 2016)
- Noncardiac surgery in patients with aortic stenosis (June 2016)
- Noncardiac surgery in patients with mitral or aortic regurgitation (Jul 2016)
Pulmonary
- Evaluation of preoperative pulmonary risk (Oct 2016)
- Strategies to reduce postoperative pulmonary complications (Feb 2016)
- Overview of the management of postoperative pulmonary complications (Oct 2016)
- Surgical risk and the preop evaluation and management of adults with OSA (Sep 2016)
- Postoperative management of adults with OSA (Apr 2016)
Infectious Disease
- Postoperative fever (Sep 2016)
- Antimicrobial prophylaxis for prevention of surgical site infection in adults (Nov 2016)
- Antimicrobial prophylaxis for bacterial endocarditis (Apr 2016)
- Surgical issues in HIV infection (Dec 2015)
Heme/Onc
- Perioperative management of patients receiving anticoagulants (Sep 2016)
- Preoperative evaluation and management of patients with cancer (Oct 2015)
- Preoperative assessment of hemostasis (Apr 2016)
- Prevention of venous thromboembolic disease in surgical patients (Oct 2016)
Endocrine
- Perioperative management of blood glucose in adults with diabetes mellitus (Sep 2016)
- The surgical patient taking glucocorticoids (Sep 2014)
- Nonthyroid surgery in the patient with thyroid disease (Apr 2015)
Other
- Medical consultation for patients with hip fracture (Aug 2016)
- Assessing surgical risk in patients with liver disease (Aug 2015)
- Preop evaluation & periop management of patients with rheumatic diseases (Oct 2016)
- Perioperative care of the surgical patient with neurologic disease (Sep 2014)
- Management of acute perioperative pain (Sep 2016)
- Identification and management of unhealthy ETOH use in the periop period (Apr 2016)
- Medical management of the dialysis patient undergoing surgery (Aug 2015)
- Overview of preoperative evaluation and preparation for gynecologic surgery (Sep 2016)
Guidelines
- Perioperative Evaluation and Care for Noncardiac Surgery, 2014
- Preoperative Beta Blockade, 2014
- Perioperative Management of Antithrombotic Therapy, Chest 2012
- Prevention of VTE in Nonorthopedic Surgical Patients, Chest 2012
- Prevention of VTE in Orthopedic Surgery Patients, Chest 2012
- Prevention of Infective Endocarditis, 2007
Cochrane Reviews
Beta Blockers
- Perioperative Beta Blockers for preventing surgery related mortality & morbidity (2014)
- Beta Blockers for periop cardiac risk reduction - vascular surgery (2015)
Statins
- Perioperative Statin therapy for improving outcomes during & after noncardiac vasc surg (2013)
- Preoperative statin therapy for patients undergoing cardiac surgery (2015)
- Statins for preventing AKI after surgical procedures requiring cardiac bypass (2015)
ACE/ARBs
Postop Pulmonary Complications
- CPAP to prevent postop morbidity & mortality - major abdominal surgery (2014)
- Incentive spirometry for prevention of postop pulm complications - upper abdom surg (2014)
- Preop IMT for postop pulmonary complications in adults - cardiac & major abdom surg (2015)
Miscellaneous
- Interventions for protecting renal function in the perioperative period (2013)
- Preoperative blood transfusions for sickle cell disease (2012)
- Perioperative glycemic control for DM patients undergoing surgery (2012)
Journal Articles
Perioperative Cardiovascular Risk Assessment
- RCRI Derivation/Validation (Circulation 1999)
- Gupta Risk Calculator Derivation/Validation (Circulation 2011)
- Development & Evaluation of the Universal ACS NSQIP Surgical Risk Calculator (JACS, 2013)
- Vascular Study Group of New England Cardiac Risk Index (Journal of Vasc Surg, 2010)
- Systematic Review: RCRI (Annals, 2010)
Perioperative Cardiac Biomarkers & Postop MI
- Pre-op BNP as a Predictor of Cardiac Events (JACC, 2009)
- Characteristics & Short-Term Prognosis of Periop MI (Annals 2011)
- VISION - Postop Trops Predict 30-Day Mortality After Noncardiac Surg (JAMA, 2012)
Perioperative Beta Blockers
- POISE - Metoprolol succinate in patients undergoing non-cardiac surgery (Lancet, 2008)
- DiPOM - Metoprolol in Diabetics undergoing major non-cardiac surgery (BMJ 2006)
Periopertative Statins
- High Dose Statins & Perioperative CV Outcomes (JACC 2007)
Perioperative Revascularization
- CARP - Revascularization in Vascular Surgery (NEJM 2004)
Perioperative ASA & Clonidine
- ASA in patients undergoing noncardiac surgery - POISE-2 (NEJM 2014)
- Clonidine in patients undergoing noncardiac surgery - POISE-2 (NEJM 2014)
Perioperative Anticoagulation Management
- Periop bridging AC in Pts with AFib - BRIDGE (NEJM, 2015)
- Periop bridging of anticoagulant therapy (SHM consults)
Perioperative Anemia
- Liberal or Restrictive Transfusion in High-Risk Pts after Hip Surgery - FOCUS (NEJM, 2011)
- The Transfusion Alternatives Preoperatively in Sickle Cell Disease (TAPS) study (Lancet, 2013)
Postoperative Pulmonary Complications