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)
Preoperative Medical Assessment Reference (Montefiore document)
Duke Activity Status Index (10.25 points = >4METS)
Postop Respiratory Failure Risk Index (Arozullah, Ann Surg 2000)
Postop Respiratory Failure Risk Index (ARISCAT, Anesthes 2010)
UpToDate
General
Preoperative medical evaluation of the healthy patient (Aug 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)
Noncardiac surgery in patients with aortic stenosis (June 2016)
Noncardiac surgery in patients with mitral or aortic regurgitation (Jul 2016)
Pulmonary
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)
Infectious Disease
Antimicrobial prophylaxis for prevention of surgical site infection in adults (Nov 2016)
Antimicrobial prophylaxis for bacterial endocarditis (Apr 2016)
Heme/Onc
Perioperative management of patients receiving anticoagulants (Sep 2016)
Preoperative evaluation and management of patients with cancer (Oct 2015)
Prevention of venous thromboembolic disease in surgical patients (Oct 2016)
Endocrine
Perioperative management of blood glucose in adults with diabetes mellitus (Sep 2016)
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)
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
Perioperative Management of Antithrombotic Therapy, Chest 2022
Prevention of VTE in Nonorthopedic Surgical Patients, Chest 2012
Prevention of VTE in Orthopedic Surgery Patients, Chest 2012
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