Perioperative Medicine Beyond Cardiac Clearance. Pamela Pride MD July 31, 2012 MUSC. Objectives. Define the management of anticoagulation List the VTE risk factors List the modes of prophylaxis Differentiate stress dose steroids Identify causes and management of postoperative fever.
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Pamela Pride MD
July 31, 2012
Define the management of anticoagulation
List the VTE risk factors
List the modes of prophylaxis
Differentiate stress dose steroids
Identify causes and management of postoperative fever
Guidelines on bridging anticoagulation and surgery suggest case by case decision.
Recommending LMWH for post op DVT prophylaxis is rarely incorrect.
Recommendations regarding stress dose steroids for patients on chronic glucocorticoids are available, although data supporting their routine use is lacking.
Fevers in the first 48 hours post op are common and routine work up with chest xray, blood and urine cultures is not indicated in an otherwise asymptomatic patient.
Management of anticoagulation
Stress dose steroids
Hx of VTE
ThrombophiliaVenous Thromboembolism ProphylaxisVTE Risk Factors
Recommend LMWH unless risk of bleeding is high, then use mechanical prophylaxis
Common, related to cytokines
History and physical exam only recommended for first 48 hours postop