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Assessing the risk of surgery in patients with liver disease
Proceedings of the Perioperative Medicine Summit
Summit Co-Directors and Co-Editors:
Amir K. Jaffer, MD, and Franklin A. Michota, Jr., MD
Contents
Foreword: Why perioperative medicine matters more than ever
Amir K. Jaffer, MD, and Franklin A. Michota, Jr., MD, Cleveland Clinic Foundation, Cleveland, OH
The preoperative evaluation and use of laboratory testing
Franklin A. Michota, Jr., MD, Cleveland Clinic Foundation, Cleveland, OH
The surgical burden: How to prevent a crisis in perioperative medicine
Michael F. Roizen, MD, Cleveland Clinic Foundation, Cleveland, OH
Anesthetics and anesthesia techniques: Impact on perioperative management and postoperative outcomes
Brian M. Parker, MD, Cleveland Clinic Foundation, Cleveland, OH
Cardiac risk stratification before noncardiac surgery
Steven L. Cohn, MD, FACP, SUNY Downstate Medical Center, Brooklyn, NY
Perioperative cardiac risk reduction: Doing it right
Andrew D. Auerbach, MD, MPH, University of California, San Francisco, CA
Quality measurement: Who is measuring outcomes and what are patients being told?
Walter G. Maurer, MD, and Christopher J. Hebert, MD, Cleveland Clinic Foundation, Cleveland, OH
Preoperative pulmonary evaluation: Identifying and reducing risks for pulmonary complications
Gerald W. Smetana, MD, Beth Israel Deaconess Medicine Center and Harvard Medical School, Boston, MA
Antibiotic prophylaxis against postoperative wound infections
Steven M. Gordon, MD, Cleveland Clinic Foundation, Cleveland, OH
Managing perioperative risk in the hip fracture patient
Wael K. Barsoum, MD; Robert Helfand, MD; Viktor Krebs, MD; and Christopher Whinney, MD, Cleveland Clinic Foundation, Cleveland, OH
Perioperative management of the bariatric surgery patient: Focus on cardiac and anesthesia considerations
Bipan Chand, MD; David Gugliotti, MD; Philip Schauer, MD; and Karen Steckner, MD, Cleveland Clinic Foundation, Cleveland, OH
Ambulatory anesthesia: Preventing perioperative and postoperative complications
Raymond G. Borkowski, MD, Cleveland Clinic Foundation, Cleveland, OH
Evaluating postoperative fever: A focused approach
James C. Pile, MD, MetroHealth Medical Center, Cleveland, OH
Septic shock in the postoperative patient: Three important management decisions
Ali Jahan, MD, Cleveland Clinic Foundation, Cleveland, OH
Optimizing postoperative pain management
R. Michael Ritchey, MD, Cleveland Clinic Foundation, Cleveland, OH
Nutritional issues in the surgical patient
Douglas L. Seidner, MD, Cleveland Clinic Foundation, Cleveland, OH
Perioperative medication management: A case-based review of general principles
Wael Saber, MD, Cleveland Clinic Foundation, Cleveland, OH
Preventing venous thromboembolism in surgical patients
Franklin A. Michota, Jr., MD, Cleveland Clinic Foundation, Cleveland, OH
Perioperative management of diabetes mellitus: How should we act on the limited evidence?
Byron J. Hoogwerf, MD, Cleveland Clinic Foundation, Cleveland, OH
Anticoagulation management strategies for patients on warfarin who need surgery
Amir K. Jaffer, MD, FHM, Cleveland Clinic Foundation, Cleveland, OH
Perioperative care of the elderly patient
Robert M. Palmer, MD, Cleveland Clinic Foundation, Cleveland, OH
Optimizing the preoperative evaluation of patients with aortic stenosis or congestive heart failure prior to noncardiac surgery
Curtis M. Rimmerman, MD, MBA, Cleveland Clinic Foundation, Cleveland, OH
Minimizing perioperative complications in patients with renal insufficiency
Martin J. Schreiber, Jr., MD, Cleveland Clinic Foundation, Cleveland, OH
Summit Co-Directors and Co-Editors:
Amir K. Jaffer, MD, and Franklin A. Michota, Jr., MD
Contents
Foreword: Why perioperative medicine matters more than ever
Amir K. Jaffer, MD, and Franklin A. Michota, Jr., MD, Cleveland Clinic Foundation, Cleveland, OH
The preoperative evaluation and use of laboratory testing
Franklin A. Michota, Jr., MD, Cleveland Clinic Foundation, Cleveland, OH
The surgical burden: How to prevent a crisis in perioperative medicine
Michael F. Roizen, MD, Cleveland Clinic Foundation, Cleveland, OH
Anesthetics and anesthesia techniques: Impact on perioperative management and postoperative outcomes
Brian M. Parker, MD, Cleveland Clinic Foundation, Cleveland, OH
Cardiac risk stratification before noncardiac surgery
Steven L. Cohn, MD, FACP, SUNY Downstate Medical Center, Brooklyn, NY
Perioperative cardiac risk reduction: Doing it right
Andrew D. Auerbach, MD, MPH, University of California, San Francisco, CA
Quality measurement: Who is measuring outcomes and what are patients being told?
Walter G. Maurer, MD, and Christopher J. Hebert, MD, Cleveland Clinic Foundation, Cleveland, OH
Preoperative pulmonary evaluation: Identifying and reducing risks for pulmonary complications
Gerald W. Smetana, MD, Beth Israel Deaconess Medicine Center and Harvard Medical School, Boston, MA
Antibiotic prophylaxis against postoperative wound infections
Steven M. Gordon, MD, Cleveland Clinic Foundation, Cleveland, OH
Managing perioperative risk in the hip fracture patient
Wael K. Barsoum, MD; Robert Helfand, MD; Viktor Krebs, MD; and Christopher Whinney, MD, Cleveland Clinic Foundation, Cleveland, OH
Perioperative management of the bariatric surgery patient: Focus on cardiac and anesthesia considerations
Bipan Chand, MD; David Gugliotti, MD; Philip Schauer, MD; and Karen Steckner, MD, Cleveland Clinic Foundation, Cleveland, OH
Ambulatory anesthesia: Preventing perioperative and postoperative complications
Raymond G. Borkowski, MD, Cleveland Clinic Foundation, Cleveland, OH
Evaluating postoperative fever: A focused approach
James C. Pile, MD, MetroHealth Medical Center, Cleveland, OH
Septic shock in the postoperative patient: Three important management decisions
Ali Jahan, MD, Cleveland Clinic Foundation, Cleveland, OH
Optimizing postoperative pain management
R. Michael Ritchey, MD, Cleveland Clinic Foundation, Cleveland, OH
Nutritional issues in the surgical patient
Douglas L. Seidner, MD, Cleveland Clinic Foundation, Cleveland, OH
Perioperative medication management: A case-based review of general principles
Wael Saber, MD, Cleveland Clinic Foundation, Cleveland, OH
Preventing venous thromboembolism in surgical patients
Franklin A. Michota, Jr., MD, Cleveland Clinic Foundation, Cleveland, OH
Perioperative management of diabetes mellitus: How should we act on the limited evidence?
Byron J. Hoogwerf, MD, Cleveland Clinic Foundation, Cleveland, OH
Anticoagulation management strategies for patients on warfarin who need surgery
Amir K. Jaffer, MD, FHM, Cleveland Clinic Foundation, Cleveland, OH
Perioperative care of the elderly patient
Robert M. Palmer, MD, Cleveland Clinic Foundation, Cleveland, OH
Optimizing the preoperative evaluation of patients with aortic stenosis or congestive heart failure prior to noncardiac surgery
Curtis M. Rimmerman, MD, MBA, Cleveland Clinic Foundation, Cleveland, OH
Minimizing perioperative complications in patients with renal insufficiency
Martin J. Schreiber, Jr., MD, Cleveland Clinic Foundation, Cleveland, OH
Summit Co-Directors and Co-Editors:
Amir K. Jaffer, MD, and Franklin A. Michota, Jr., MD
Contents
Foreword: Why perioperative medicine matters more than ever
Amir K. Jaffer, MD, and Franklin A. Michota, Jr., MD, Cleveland Clinic Foundation, Cleveland, OH
The preoperative evaluation and use of laboratory testing
Franklin A. Michota, Jr., MD, Cleveland Clinic Foundation, Cleveland, OH
The surgical burden: How to prevent a crisis in perioperative medicine
Michael F. Roizen, MD, Cleveland Clinic Foundation, Cleveland, OH
Anesthetics and anesthesia techniques: Impact on perioperative management and postoperative outcomes
Brian M. Parker, MD, Cleveland Clinic Foundation, Cleveland, OH
Cardiac risk stratification before noncardiac surgery
Steven L. Cohn, MD, FACP, SUNY Downstate Medical Center, Brooklyn, NY
Perioperative cardiac risk reduction: Doing it right
Andrew D. Auerbach, MD, MPH, University of California, San Francisco, CA
Quality measurement: Who is measuring outcomes and what are patients being told?
Walter G. Maurer, MD, and Christopher J. Hebert, MD, Cleveland Clinic Foundation, Cleveland, OH
Preoperative pulmonary evaluation: Identifying and reducing risks for pulmonary complications
Gerald W. Smetana, MD, Beth Israel Deaconess Medicine Center and Harvard Medical School, Boston, MA
Antibiotic prophylaxis against postoperative wound infections
Steven M. Gordon, MD, Cleveland Clinic Foundation, Cleveland, OH
Managing perioperative risk in the hip fracture patient
Wael K. Barsoum, MD; Robert Helfand, MD; Viktor Krebs, MD; and Christopher Whinney, MD, Cleveland Clinic Foundation, Cleveland, OH
Perioperative management of the bariatric surgery patient: Focus on cardiac and anesthesia considerations
Bipan Chand, MD; David Gugliotti, MD; Philip Schauer, MD; and Karen Steckner, MD, Cleveland Clinic Foundation, Cleveland, OH
Ambulatory anesthesia: Preventing perioperative and postoperative complications
Raymond G. Borkowski, MD, Cleveland Clinic Foundation, Cleveland, OH
Evaluating postoperative fever: A focused approach
James C. Pile, MD, MetroHealth Medical Center, Cleveland, OH
Septic shock in the postoperative patient: Three important management decisions
Ali Jahan, MD, Cleveland Clinic Foundation, Cleveland, OH
Optimizing postoperative pain management
R. Michael Ritchey, MD, Cleveland Clinic Foundation, Cleveland, OH
Nutritional issues in the surgical patient
Douglas L. Seidner, MD, Cleveland Clinic Foundation, Cleveland, OH
Perioperative medication management: A case-based review of general principles
Wael Saber, MD, Cleveland Clinic Foundation, Cleveland, OH
Preventing venous thromboembolism in surgical patients
Franklin A. Michota, Jr., MD, Cleveland Clinic Foundation, Cleveland, OH
Perioperative management of diabetes mellitus: How should we act on the limited evidence?
Byron J. Hoogwerf, MD, Cleveland Clinic Foundation, Cleveland, OH
Anticoagulation management strategies for patients on warfarin who need surgery
Amir K. Jaffer, MD, FHM, Cleveland Clinic Foundation, Cleveland, OH
Perioperative care of the elderly patient
Robert M. Palmer, MD, Cleveland Clinic Foundation, Cleveland, OH
Optimizing the preoperative evaluation of patients with aortic stenosis or congestive heart failure prior to noncardiac surgery
Curtis M. Rimmerman, MD, MBA, Cleveland Clinic Foundation, Cleveland, OH
Minimizing perioperative complications in patients with renal insufficiency
Martin J. Schreiber, Jr., MD, Cleveland Clinic Foundation, Cleveland, OH
Update in ARDS management: Recent randomized controlled trials that changed our practice
Contrast-induced nephropathy: How it develops, how to prevent it
Use of corticosteroids in the sepsis syndrome: What do we know now?
How soon can a patient undergo noncardiac surgery after receiving a drug-eluting stent?
Auto-positive end-expiratory pressure: Mechanisms and treatment
Preventing and Treating Thromboembolism in the 21st Century
Supplement Editor:
Amir K. Jaffer, MD
Contents
A pharmacologic overview of current and emerging anticoagulants
Edith A. Nutescu, PharmD; Nancy L. Shapiro, PharmD; Aimee Chevalier, PharmD; and Alpesh N. Amin, MD, MBA
Prevention of venous thromboembolism in medical and surgical patients
Peter J. Kaboli, MD; Adam Brenner, BS; and Andrew S. Dunn, MD
Current and emerging options in the management of venous thromboembolism
Amir K. Jaffer, MD; Daniel J. Brotman, MD; and Franklin Michota, MD
Stroke prevention in atrial fibrillation: Current anticoagulation management and future directions
Benjamin T. Fitzgerald, MBBS; Steven L. Cohn, MD; and Allan L. Klein, MD
Heparin-induced thrombocytopenia: Principles for early recognition and management
John R. Bartholomew, MD; Susan M. Begelman, MD; and Amjad AlMahameed, MD
Anticoagulation in special patient populations: Are special dosing considerations required?
Franklin Michota, MD, and Geno Merli, MD
Cost considerations surrounding current and future anticoagulant therapies
Margaret C. Fang, MD, MPH; Tracy Minichiello, MD; and Andrew D. Auerbach, MD, MPH
Supplement Editor:
Amir K. Jaffer, MD
Contents
A pharmacologic overview of current and emerging anticoagulants
Edith A. Nutescu, PharmD; Nancy L. Shapiro, PharmD; Aimee Chevalier, PharmD; and Alpesh N. Amin, MD, MBA
Prevention of venous thromboembolism in medical and surgical patients
Peter J. Kaboli, MD; Adam Brenner, BS; and Andrew S. Dunn, MD
Current and emerging options in the management of venous thromboembolism
Amir K. Jaffer, MD; Daniel J. Brotman, MD; and Franklin Michota, MD
Stroke prevention in atrial fibrillation: Current anticoagulation management and future directions
Benjamin T. Fitzgerald, MBBS; Steven L. Cohn, MD; and Allan L. Klein, MD
Heparin-induced thrombocytopenia: Principles for early recognition and management
John R. Bartholomew, MD; Susan M. Begelman, MD; and Amjad AlMahameed, MD
Anticoagulation in special patient populations: Are special dosing considerations required?
Franklin Michota, MD, and Geno Merli, MD
Cost considerations surrounding current and future anticoagulant therapies
Margaret C. Fang, MD, MPH; Tracy Minichiello, MD; and Andrew D. Auerbach, MD, MPH
Supplement Editor:
Amir K. Jaffer, MD
Contents
A pharmacologic overview of current and emerging anticoagulants
Edith A. Nutescu, PharmD; Nancy L. Shapiro, PharmD; Aimee Chevalier, PharmD; and Alpesh N. Amin, MD, MBA
Prevention of venous thromboembolism in medical and surgical patients
Peter J. Kaboli, MD; Adam Brenner, BS; and Andrew S. Dunn, MD
Current and emerging options in the management of venous thromboembolism
Amir K. Jaffer, MD; Daniel J. Brotman, MD; and Franklin Michota, MD
Stroke prevention in atrial fibrillation: Current anticoagulation management and future directions
Benjamin T. Fitzgerald, MBBS; Steven L. Cohn, MD; and Allan L. Klein, MD
Heparin-induced thrombocytopenia: Principles for early recognition and management
John R. Bartholomew, MD; Susan M. Begelman, MD; and Amjad AlMahameed, MD
Anticoagulation in special patient populations: Are special dosing considerations required?
Franklin Michota, MD, and Geno Merli, MD
Cost considerations surrounding current and future anticoagulant therapies
Margaret C. Fang, MD, MPH; Tracy Minichiello, MD; and Andrew D. Auerbach, MD, MPH
