Thoracic Key

Time of VTE prior to surgery Risk of recurrent VTE after stopping anticoagulation Management  Pre-op Post-op Within 1 month Approaches 50 % if stopped prior to 1 month Avoid surgery…

S = Snoring. Do you snore loudly (louder than talking or loud enough to be heard through closed doors)? T = Tired. Do you often feel tired, fatigued, or sleepy during daytime? O = Observed (apnea)….

Severity of pulmonary hypertension Comorbid features associated with increased riska Estimated surgical risk Suggested management strategy Severe disease One or more High Elective surgery: avoid surgery if possible • WHO class…

© Springer International Publishing Switzerland 2015Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_28 28. Asthma and COPD Sabeena Setia1   and John H. Choe1 (1) Division of General Internal Medicine, Department of Medicine, University…

COPD Age > 60 ASA class II or higher Functionally dependent Congestive heart failure Pulmonary hypertension Delirium Alcohol use Obstructive sleep apnea Albumin <3.6 g/dL Surgery factors: prolonged surgery more than 3…

Medication PO or IV Notes Phenytoin (Dilantin®) PO, IV Commonly used antiepileptic medication for IV administration. Side effects include hypotension and arrhythmia when given IV (must be given slowly IV)….

© Springer International Publishing Switzerland 2015Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_26 26. Parkinson’s Disease Elizabeth Kaplan1   (1) Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle,…

© Springer International Publishing Switzerland 2015Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_24 24. Cerebrovascular Disease Anna L. Golob1   (1) Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle,…

© Springer International Publishing Switzerland 2015Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_23 23. Sickle Cell Disease Nason P. Hamlin1   (1) Division of General Internal Medicine, Department of Medicine, University of Washington,…

Hgb < 7–8 g/dL—red blood cell transfusion is indicated Hgb 8–10 g/dL—optimal transfusion threshold is unclear Hgb > 10 g/dL—red blood cell transfusion is usually not necessary Transfusion may be considered when the hemoglobin…