Thoracic Key

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…

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)….

© 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…

Early Within the first 1–2 days of starting heparin Seen in patients with prior exposure to heparin (usually in the preceding 3 months) and hence prior antibodies Usual Within 5–10…