PPT-PREOPERATIVE AND PERIOPERATIVE ISSUES IN THE ELDERLY

Sarah M McGee MD MPH Director of Education Division of Geriatrics November 7 2008 August 5 2009 THE AMERICAN GERIATRICS SOCIETY Geriatrics Health Professionals Leading change Improving care for older adults. xpressionNoneGrimaceGrimace/gruntleeplessnessNoThe baby wakes atThe baby is awake frequent intervalscontinuously Coding Tips for CRIESCryingThe characteristic cry of pain is high-pitchedIf there is no Which is the Culprit for Worse Outcomes in Cardiac Surgery?. Damien J. LaPar MD, MSc, James M. Isbell MD, MSCI, Jeffrey B. Rich MD, . Alan M. . Speir. MD, Mohammed . Quader. , MD, Irving L. . Kron. MD, . Which is the Culprit for Worse Outcomes in Cardiac Surgery?. Damien J. LaPar MD, MSc, James M. Isbell MD, MSCI, Jeffrey B. Rich MD, . Alan M. . Speir. MD, Mohammed . Quader. , MD, Irving L. . Kron. MD, . Stephen D. Sisson MD FACP. Objectives. To review preoperative evaluation. To review issues in perioperative medication adjustment. To review preoperative testing. To review clinical risk assessment and risk assessment tools. Penicillin Allergic Patients. Anesthesia Department QI Project. Raleigh Anderson MD Jennifer Hong MD MBA. Kristin Barney DO Kenton Howard MD. Diana Heringer MD Corey Tingey DO. Advisors:. Pierre Moine MD. David W Kabel MD, FACC. Preoperative Evaluation- Paradigm Change. Shift of emphasis. From preoperative risk stratification and testing . To perioperative management of risk . Prevention of major adverse cardiac events (MACE). A Learning Health Systems Approach. Patrick Tighe MD MS. Associate Professor. Donn M. Dennis M.D. Professor in Anesthetic Innovation. University of Florida Term Professor. Depts. of Anesthesiology, Orthopedics, . Presenter- . . . Dr.. . P. riyanka. Gupta (Assistant professor, . Dept. of Anaesthesia). Moderator- . . Prof. . Mukesh. . Tripathi. (HOD, . Dept. of . Anaesthesia). Preoperative evaluation. Dr. Ali . Hadi. . M.B.Ch.B. -F.I.C.M.S. What is Anesthesia ?. Reversible controlled loss of consciousness. Analgesia. Amnesia. Muscle relaxation. Preoperative Evaluation . Objectives. . Determine pt medical status by . (1) Proper history . (2) Physical exam . (3) Indicated Lab. Investigations . (4) Review medical records. (5) Consider if needed further testing or consults to develop anesthesia plan.. Preoperative investigations guideline S tatement routinely 1 . Perioperative investigations should be tailored to the individual patient’s need s and the surgery they are undergoing. The implement Dr kh. Elmizadeh. Gyneoncologist. The preoperative process should include comprehensive . counseling. of the patient regarding . alternative treatment options . (including expectant management) and . O. f Pituitary . T. umors. Mahshid. . B. abaei. M.D.. Endocrinologist. 98.4.13. agenda. Pre- op assessment. Adrenal insufficiency. Post-op assessment. Patients with pituitary disease . present unique . & Risk Evaluation. Preoperative Evaluation and Preparation. The goal of the evaluation of the healthy patient is:. . to detect unrecognized disease and risk factors that may increase the risk of surgery above baseline.