Optimize perioperative risk and dominate perioperative medicine. Topics include surgical risk calculators, preoperative labs, stress testing, use of BNP and troponins, postoperative MI, cardiac and pulmonary risk stratification, and more! We’re joined by perioperative medicine expert, Avital O’Glasser MD, Associate Professor of Medicine at Oregon Health & Science University and Assistant Program Director for Scholarship and Social Media. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST).

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Credits

Written and produced by: Matthew Watto MD

CME questions by: Matthew Watto MD

Hosts: Matthew Watto MD, Stuart Brigham MD

Edited by: Matthew Watto MD

Guest: Avital O’Glasser MD

Time Stamps

00:00 Disclaimer, intro and guest bio
04:20 Guest one-liner, book and movie recommendations, career advice
11:20 ACP Internal Medicine Meeting 2019 details
14:02 Patient with coronary artery calcifications going for elective hip surgery and wants "clearance"
20:50 Functional capacity
25:00 Preoperative stress testing and coronary revascularization
31:55 Canadian guidelines, BNP and troponin testing
36:30 The METS trial and predicting perioperative cardiac events and mortality
40:44 Preoperative testing (labs, imaging, urine studies)
50:24 Choosing your perioperative cardiac and surgical risk calculator (RCRI, MICA, ACS-NSQIP)
59:50 Communicating risk to patient and their surgeon
61:30 Pulmonary risk assessment and complications
70:35 Perioperative use of opioids
75:30 Who needs an echocardiogram prior to surgery?
79:00 Canceling a patient's surgery
82:55 Take home points
83:45 Outro

#135 Perioperative Medicine with Dr Avital O'Glasser

The Curbsiders Internal Medicine Podcast