Pre-operative assessment

WikiDoc Resources for Pre-operative assessment
Articles
Most recent articles on Pre-operative assessment Most cited articles on Pre-operative assessment Review articles on Pre-operative assessment Articles on Pre-operative assessment in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Pre-operative assessment Images of Pre-operative assessment Photos of Pre-operative assessment Podcasts & MP3s on Pre-operative assessment Videos on Pre-operative assessment
Evidence Based Medicine
Cochrane Collaboration on Pre-operative assessment Bandolier on Pre-operative assessment TRIP on Pre-operative assessment
Clinical Trials
Ongoing Trials on Pre-operative assessment at Clinical Trials.gov Trial results on Pre-operative assessment Clinical Trials on Pre-operative assessment at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Pre-operative assessment NICE Guidance on Pre-operative assessment NHS PRODIGY Guidance FDA on Pre-operative assessment CDC on Pre-operative assessment
Books
Books on Pre-operative assessment
News
Pre-operative assessment in the news Be alerted to news on Pre-operative assessment News trends on Pre-operative assessment
Commentary
Blogs on Pre-operative assessment
Definitions
Definitions of Pre-operative assessment
Patient Resources / Community
Patient resources on Pre-operative assessment Discussion groups on Pre-operative assessment Patient Handouts on Pre-operative assessment Directions to Hospitals Treating Pre-operative assessment Risk calculators and risk factors for Pre-operative assessment
Healthcare Provider Resources
Symptoms of Pre-operative assessment Causes & Risk Factors for Pre-operative assessment Diagnostic studies for Pre-operative assessment Treatment of Pre-operative assessment
Continuing Medical Education (CME)
CME Programs on Pre-operative assessment
International
Pre-operative assessment en Espanol Pre-operative assessment en Francais
Business
Pre-operative assessment in the Marketplace Patents on Pre-operative assessment
Experimental / Informatics
List of terms related to Pre-operative assessment

Cardiology Network
Discuss Pre-operative assessment further in the WikiDoc Cardiology Network
Adult Congenital
Biomarkers
Cardiac Rehabilitation
Congestive Heart Failure
CT Angiography
Echocardiography
Electrophysiology
Cardiology General
Genetics
Health Economics
Hypertension
Interventional Cardiology
MRI
Nuclear Cardiology
Peripheral Arterial Disease
Prevention
Public Policy
Pulmonary Embolism
Stable Angina
Valvular Heart Disease
Vascular Medicine

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Perioperative risk of death

Anesthesia Type of procedure or surgery Patient age Emergency procedure Pulmonary factors Cardiac factors

Scoring systems for perioperative risk

General factors

Cardiac Risk Stratification for Noncardiac Surgical Procedures

High (Reported cardiac risk often greater than 5%)

• Emergent major operations, particularly in the elderly
• Aortic and other major vascular surgery
• Peripheral vascular surgery
• Anticipated prolonged surgical procedures associated with large fluid shifts and/or blood loss

Intermediate (Reported cardiac risk generally less than 5%)

• Carotid endarterectomy
• Head and neck surgery
• Intraperitoneal and intrathoracic surgery
• Orthopedic surgery
• Prostate surgery

Low (Reported cardiac risk generally less than 1%)

• Endoscopic procedures
• Superficial procedure
• Cataract surgery
• Breast surgery

Estimated Energy Requirements for Various Activities

1 MET Can you take care of yourself? 4 METs Climb a flight of stairs or walk up a hill? Eat, dress, or use the toilet? Walk on level ground at 4 mph or 6.4 km per h? Walk indoors around the house? Run a short distance? Walk a block or two on level ground at 2 to 3 mph or 3.2 to 4.8 km per h? Do heavy work around the house like scrubbing floors or lifting or moving heavy furniture? Participate in moderate recreational activities like golf, bowling, dancing, doubles tennis, or throwing a baseball or football? 4 METs Do light work around the house like dusting or washing dishes? Greater than 10 METs Participate in strenuous sports like swimming, singles tennis, football, basketball, or skiing? MET indicates metabolic equivalent.Adapted from the Duke Activity Status Index and AHA Exercise Standards.

Stepwise approach to preoperative cardiac assessment

Sources

http://www.askdrwiki.com/mediawiki/index.php?title=Preoperative_Clearance

References

1. Eagle, K. A. et al. Circulation 2002;105:1257-1267
2. Hlatky MA, Boineau RE, Higginbotham MB, et al. A brief self-administered questionnaire to determine functional capacity (the Duke Activity Status Index). Am J Cardiol. 1989; 64: 651–4