PocketNotes for Adult Medicine

THE BELLFLOWER PERIOPERATIVE POCKET MANUAL  
Maracus Magallanes, MD 2005

TABLE OF CONTENTS

1. INTRODUCTION - GENERAL PRINCIPLES

• Preoperative evaluation
• Contraindications to surgery

2. ANESTHETIC CONSIDERATIONS

• Types of anesthesia.
• Effects of anesthesia.

3. SURGICAL CONSIDERATIONS

• Stress of surgery
• Urgency of surgery

4. CARDIAC CONCERNS

• Hypertension
• Coronary artery disease  
• Congestive heart failure
• Valve disease
• Arrhythmias
• Conduction blocks
• Pacemakers

5. PULMONARY CONCERNS

• COPD/asthma.
• Restrictive lung disease.

6. ENDOCRINOLOGIC CONCERNS

• Diabetes
• Thyroid disease

7. RENAL CONCERNS

• Chronic renal failure

8. GI CONCERNS

• Chronic liver disease

9. HEMATOLOGIC CONCERNS

• Hematologic parameters for surgery
• Von Willebrand's disease

10. RHEUMATOLOGIC CONCERNS

• Rheumatoid arthritis.
• Lupus

11. NEUROLOGIC CONCERNS

• Stroke/TIA
• Seizure disorders

12. INFECTIOUS DISEASE CONCERNS

• AIDS

13. AGE and OBESITY

14. SELECTED PERIOPERATIVE TOPICS

• Patients on chronic anticoagulation
• Patients on steroids
• Hip fracture
• Postoperative delirium
• Peripheral vascular disease
• Perioperative beta-blockers
• The use of a pulmonary artery catheter
• Antibiotic prophylaxis
• DVT prophylaxis

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