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Introduction to Perioperative Management

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Page 1: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

IntroductiontoPerioperativeManagement

Page 2: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

Outline• PainManagement• PerioperativeMedications• PerioperativeFluidManagement• Diet• FoleyCatheters• VTEProphylaxis• Antibiotics• GlycemicControl

Page 3: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PainManagement

Page 4: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PainManagement

Page 5: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PainManagement

Page 6: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PainManagement

Page 7: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PainManagement

Page 8: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PainManagement

Page 9: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PerioperativeMedications

Page 10: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PerioperativeMedications

• Beta-blockers:mustbecontinuedperiop (holdfor↓HRorBP)butdoNOTstartnewBB• Aspirin:likelynobenefitperiop (noeffectondeathorAMI,increasedbleeding)• Anticoagulation:Bridgingvs.nobridging.

Page 11: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PerioperativeMedications

Page 12: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PerioperativeMedications

Page 13: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PerioperativeMedications

Page 14: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PerioperativeFluidManagement

Page 15: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PerioperativeMedications

• Associatedwithhyperchloremic metabolicacidosis• Beneficialinclosedheadinjury

Page 16: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PerioperativeFluidManagement

Page 17: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

Transfusions

Page 18: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

Diet

Page 19: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

TPNandTubeFeeds

• ConsultDietician• Learntodothecalculationyourself

Page 20: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

TPNandTubeFeeds

Page 21: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

TPNandTubeFeeds

Page 22: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

Urinary(Foley)Catheters

Page 23: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

Urinary(Foley)Catheters

Page 24: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

VTEProphylaxis

Page 25: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

Antibiotics

Page 26: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

GlycemicControl

Page 27: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

GlycemicControl

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