PPT-Tranexamic acid in patients undergoing noncardiac surgery

Dr PJ Devereaux on behalf of POISE3 Investigators Population Health Research Institute Hamilton Canada Funding Canadian Institutes of Health Research National Health and Medical Research Council Australia Research Grant Council Hong. Ian Roberts. Tranexamic acid and bleeding. The CRASH-2 trial. Tranexamic acid in traumatic brain injury. Future research . Structure of presentation. Tranexamic acid and bleeding. Activators of . Natalea. Johnson, MD CA-2. Seth . Palesch. , MD CA-2. Bernie Miller, MD CA-2. Katie Seligman, MD CA-3. Conflict of Interest. No relevant financial disclosures or conflicts of interests. Learning Objectives. Ian Roberts. Tranexamic acid and bleeding. The CRASH-2 trial. Tranexamic acid in traumatic brain injury. Future research . Structure of presentation. Tranexamic acid and bleeding. Activators of . Natalea. Johnson, MD CA-2. Seth . Palesch. , MD CA-2. Bernie Miller, MD CA-2. Katie Seligman, MD CA-3. Conflict of Interest. No relevant financial disclosures or conflicts of interests. Learning Objectives. Dr. PJ Devereaux on behalf of POISE. Investigators. Population Health Research Institute, Hamilton, Canada. Background. 200 million adults globally undergo noncardiac surgery annually. >3 million will suffer MI. 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). Rajeev Shah, PharmD. Rajeev.Shah@rwjbh.org. PGY-1 Pharmacy Resident. Robert Wood Johnson University Hospital Somerset. RWJ. Barnabas. . Health. 1. Disclosures. I, Rajeev Shah, . DO NOT have a financial interest/arrangement . Veerle Leenaerts, MDInternal Medicine Resident at AZ Klina, Antwerp Metropolitan Area, Belgium; E-mail: Veerle.Leenaerts2@klina.beNovember 9November 28, 2020 ; , 2020Leenaerts V. Nebulized tranexamic Dr kh. Elmizadeh. Gyneoncologist. The preoperative process should include comprehensive . counseling. of the patient regarding . alternative treatment options . (including expectant management) and . Barua, MD. Hospital medicine at THD. Purpose of Pre op evaluation. The main focus of the preoperative evaluation is to identify those patients at increased risk for perioperative morbidity and mortality.. in bleeding trauma patients. Here we present the evidence. Bleeding. 45%. CNS . injury. 41%. Organ . failure. 10%. Other. 4%. There are millions of trauma deaths each year. Many patients survive to reach hospital. This slide shows the causes of in-hospital trauma deaths. PATIENTS. . INDICATIONS FOR USE IN TRAUMA.  . Either. SBP <90 mmHg (for patients > 12 years). Or. HR >110 (for patients > 12 years). Neither of the above but still considered to be at risk of significant internal or external haemorrhage (all ages). Helen Williams (ST6 Anaesthetics). Simon Lewis (Consultant Anaesthetists). Diabetic patients undergoing surgery. Diabetic patients have greater complication rates, mortality rates and length of stay. . 2024 AHA/ACC/ACS/ASNC/. HRS/SCA/SCCT/SCMR/SVM . Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery. AHA Clinical Update PPTX. Table 1. . Applying Class of Recommendation and Level of Evidence to Clinical Strategies,...