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Clinical Medicine: Perioperative Care

Perioperative

Glister BG, Vigersky RA. Perioperative management of type 1 diabetes mellitus. Endocrinol Metab Clin N Am. 32(2003) 411-436.

Jacober SJ, Sowers JR. An Update on Perioperative Management of Diabetes. Arch Intern Med 159. November 8, 1999.

Gandhi GY et. Al. Effect of Perioperative Insulin Infusion on Surgical Morbidity and Mortality: Systematic Review and Meta-analysis of randomized trials. Mayo Clin Proc April 2008; 83(4): 418-430.

Umpierrez et al. Randomized Study of Basal-Bolus Insulin Therapy in the Inpatient Management of Patients with Type 2 Diabetes (RABBIT 2 Trial). Diabetes Care 30:2181-2186, 2007.

The NICE-SUGAR Study Investigators. Intensive versus Conventional Glucose Control in Critically Ill Patients. N Engl J Med 2009; 360:1283-97.

Anticoagulants/Aspirin

Link to Chest Guidelines 2012.

 

Beta-Blockers

Mangano DT, et al. Effect of atenolol on mortality and cardiovascular morbidity after noncardiac surgery. NEJM 1996; 335(23): 1713-1801.

Lindenauer et al. Perioperative Beta-Bocker Therapy and Mortality after Major Noncardiac Surgery. N Engl J Med 2005; 353: 349-61.

POISE Study Group. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomized controlled trial.

Dunkelgrun et al. Bisoprolol and Fluvastatin for the Reduction of Perioperative Cardiac Mortality and Myocardial Infarction in Intermediate-Risk Patients Undergoing Noncardiovascular Surgery. A Randomized Controlled Trial (DECREASE-IV). Ann Surg 2009; 249: 921-926.

Juul et al. Effect of perioperative β blockade in patients with diabetes undergoing major non-cardiac surgery: randomized placebo controlled, blinded multicentre trial. BMJ 2006; 332(7556): 1482.

Yang et al. The effects of perioperative β-blockaged: Results of the Metoprolol after Vascular Sugery (MaVS) study, a randomized controlled trial. Am Heart J 2006; 152:983-90.

 

Biologics and Arthritis

Mushtaq S, Goodman SM, Scanzello CR. Perioperative management of biologic agents used in treatment of rheumatoid arthritis.   Am J Ther [Internet]. 2011;18(5):426-34.

 

Statins/ACE-I/ARBs

 

Schouten et al. Fluvastatin and Perioperative Events in Patients Undergoing Vascular Surgery. N Engl J Med 2009; 361:980-9.

Redelmeier DA, Thiruchelvam D, Daneman N. Delirium after elective surgery among elderly patients taking statins. CMAJ 2009; 179(7):645-52.

Rosenman et al. Clinical Consequences of Withholding Versus Administering Renin-Angiotensin-Aldosterone System Antagonists in the Preoperative Period. Journal of Hospital Medicine 2008; 3:319-325.

Effect of perioperative statins on death, myocardial infarction, atrial fibrillation, and length of stay: a systematic review and meta-analysis. Arch Surg. 2012 Feb;147(2):181-9.

Risk of intraoperative hypotension with loop diuretics: a randomized controlled trial. Khan NA, Campbell NR, Frost SD, Gilbert K, Michota FA, Usmani A, Seal D, Ghali WA. Am J Med. 2010 Nov;123(11):1059.e1-8

 

Steroids

Marik PE and Varon J. Requirement of Perioperative Stress Doses of Corticosteroids. A Systematic Review of the Literature. Arch Surg. 2008; 143(12): 1222-1226.

 

 

Guidelines and Risk Indices

ACC Website Guidelines - Perioperative Guidelines/Beta-blocker Guidelines

Lee TH et al. Derivation and Prospective Validation of a Simple Index for Prediction of Cardiac Risk of Major Noncardiac Surgery. Circulation 1999; 100: 1043-1049.

Fisher BW et al. The Ankle-to-Arm Blood Pressure Index Predicts Risk of Cardiac Complications After Noncardiac Surgery. Anesth Analg 2008; 107:149-54.

Holyrod LeDuc et al. How can delirium best be prevented and managed in older patients in hospital. Cite as CMAJ 2009.DOI:10.1503/cmaj.080519

 

Pulmonary Risk

McAlister FA, et al. Accuracy of the Preoperative Assessment in Predicting Pulmonary Risk after Nonthoracic Surgery. Am J Respir Crit Med 167: 741-744.

Perioperative management of obstructive sleep apnea: Ready for prime time? S. Shafazand. Cleveland Clinic Journal of Medicine 76(4): November 2009: S98-103.

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