Hypertension
Beta-blockers Continue, and take on the morning of surgery ACE inhibitors Hold on the morning of surgery unless patient has poorly controlled HTN at baseline, e.g., SBP > 180 or DBP > 110 ARBs…
Introduction
Avoid recommendations on these subjects Type of anesthesia; invasive intraoperative monitoring such as pulmonary artery (PA) catheters or transesophageal echocardiography (TEE) These decisions are best left to the anesthesiologist Per…
Diabetes Mellitus
BASAL insulin Longer-acting insulins (e.g., glargine, detemir, and NPH) which provide a constant supply of “background” insulin, regardless of meals. All patients with type 1 diabetes require this and many…
Anesthesia Pearls
© 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_5 5. Anesthesia Pearls Gail A. Van Norman1 (1) Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA…
Valvular Heart Disease
Stage Aortic jet velocity (m/s) Mean gradient (mmHg) Valve area (cm2) Mild <3.0 <25 >1.5 Moderate 3.0–4.0 25–40 1.0–1.5 Severe >4.0 >40 <1.0 3 months of surgery for asymptomatic with…
Implantable Cardiac Electronic Devices
(1) Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA Background Overview of Device-Related Complications Patients with pacemakers or internal cardioverter-defibrillators (ICDs) are at risk for…
Cardiovascular Risk Stratification
Fig. 6.1 Perioperative Assessment for Coronary Artery Disease. Adapted with permission from [2] The type of surgery, expected blood loss, duration of anesthesia, and anticipated fluid shifts each contribute to…
of Chlamydophila Pneumoniae and Typical Bacteria in Patients with Chronic Cough
No. of patients Chl. pneumoniae Typical pathogensa Co-infection Women 110 31 (28.2 %) 30 (27.3 %) 9 (8.2 %) Men 64 14 (21.9 %) 22 (34.4 %) 3 (4.7 %) Children 40 10 (25.0 %) 21…
with Vaccination Against Influenza Among the Elderly
Before lecture After lecture % of answers % answers Information given by the mass media on vaccination against influenza is: Sufficiently communicated 24.1 51.7 Insufficiently communicated 55.2 41.4 No…
Pneumonia and Its Complications in Children
Medical history n (%) Viral infection prior to NP 2 (6.25 %) Tonsillar hypertrophy 2 (6.25 %) Asthma 2 (6.25 %) Systemic hypertension and obesity 1 (3.13 %) Recurrent upper respiratory tract infections 1…
