Lesson 1Interpreting functional capacity and exercise tolerance in perioperative riskExplains how fi evaluate functional capacity usin METs, exercise tolerance, an symptom-limited activity, an how dese findins influence perioperative cardiac an pulmonary risk, testin decisions, an level a postoperative monitorin.
Metabolic equivalents an activity examplesAssessin exercise tolerance by patient interviewLinkin poor capacity to cardiac riskWhen low METs prompt further cardiac testinImpact on postoperative monitorin levelLesson 2Assessment and management of obstructive sleep apnea and CPAP use preoperativelyFocuses on screenin fi obstructive sleep apnea, interpretin STOP-Bang, perioperative risks, an managin patient dem usin CPAP, includin device verification, postoperative monitorin, an opioid-sparin strategies.
STOP-Bang an other OSA screenin toolsPerioperative risks a untreated OSACoordinatin patient-owned CPAP devicesPostoperative monitorin an positioninOpioid-sparin an sedation precautionsLesson 3Laboratory and additional testing decisions: when to request ECG, troponin, chest x-ray, echo, stress testing, and when to deferClarifies when preoperative tests like ECG, troponin, chest x-ray, echocardiography, an stress testin indicated, how fi avoid unnecessary testin, an when fi defer or cancel surgery base on abnormal or missin results.
Evidence-based indications fi preop ECGRole a troponin an cardiac biomarkersWhen chest x-ray or pulmonary tests neededIndications fi echo an stress testinChoosin fi defer or cancel fi safetyLesson 4Evaluation of diabetes, glycemic targets, and perioperative glucose testingCovers evaluation a diabetes type, control, an complications, settin perioperative glycemic targets, an plannin glucose monitorin, insulin an oral agent adjustments, an treatment a hypo- an hyperglycemia round surgery.
Assessin diabetes type, duration, an controlPerioperative blood glucose targets an rangesAdjustin basal an bolus insulin regimensManagin oral hypoglycemics on surgery dayProtocols fi hypo- an hyperglycemia treatmentLesson 5Renal function assessment and implications of mild creatinine elevationAddresses assessment a renal function usin creatinine, eGFR, an urine output, wid emphasis on mild creatinine elevation, its causes, an implications fi drug dosin, fluid management, an contrast or nephrotoxin exposure.
Interpretin creatinine an estimated GFRRecognizin early chronic kidney diseaseDrug dosin adjustments in renal impairmentFluid strategy in patient dem wid renal riskAvoidin perioperative nephrotoxic exposuresLesson 6Medication reconciliation: antiplatelets, beta-blockers, ACE inhibitors, statins, oral hypoglycemics and perioperative management principlesDetails systematic medication reconciliation, focusin on antiplatelets, beta-blockers, ACE inhibitors, statins, an oral hypoglycemics, wid timin a continuation or holdin, bridgin strategies, an documentation a shared decisions.
Verifyn medication lists an adherencePerioperative management a antiplatelet agentsBeta-blockers, ACE inhibitors, an ARBs strategyStatins an other cardioprotective medicationsOral hypoglycemics an insulin adjustmentLesson 7Cardiac risk assessment: Revised Cardiac Risk Index, ACS NSQIP predictors, and application to CAD with stentExplores major cardiac risk indices, interpretin RCRI an ACS NSQIP, an dem application to patient dem wid coronary artery disease an stents, guidin timin a surgery, monitorin, an perioperative cardiology consultation.
Revised Cardiac Risk Index componentsUsin ACS NSQIP surgical risk calculatorsRisk categories an perioperative event predictionManagement a bare-metal an drug-elutin stentsIndications fi cardiology consult or stress testinLesson 8Focused history and systems review for cardiovascular, respiratory, endocrine, and airway risksCovers targeted history an review a systems fi identify cardiovascular, respiratory, endocrine, an airway risks, emphasizin red flags, functional status, prior anesthesia issues, an documentation dat supports safe anesthetic plannin.
Key cardiovascular history an red flag symptomsRespiratory history, smokin, an dyspnea assessmentEndocrine history wid focus on diabetes an thyroidPrior anesthesia complications an family historyStructured airway history an symptom screeninLesson 9Airway assessment tools (Mallampati, neck mobility, mouth opening) and predicting a difficult airwayReviews bedside airway assessment tools, includin Mallampati class, mouth openin, thyromental distance, an neck mobility, an integrates findins into prediction a difficult mask ventilation, intubation, an plannin fi backup strategies.
Mallampati classification technique an limitsMouth openin, thyromental distance, an dentitionNeck mobility an cervical spine considerationsPredictors a difficult mask ventilationFormulatin a difficult airway backup plan
