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Preoperative Respiratory Risk Modification
Aka: Preoperative Respiratory Risk Modification, Preoperative COPD Risk Modification, Preoperative Sleep Apnea Risk Modification, Perioperative Pulmonary Risk Modification- See Also
- Preoperative Pulmonary Risk Stratification
- Preoperative Examination
- Preoperative Cardiovascular Evaluation
- Preoperative Evaluation in Kidney Disease
- Perioperative Beta Blocker
- Antiplatelet Therapy for Vascular Disease
- Perioperative Cardiovascular Risk
- Perioperative Diabetes Management
- Deep Vein Thrombosis Prevention
- Perioperative Anticoagulation
- Endocarditis Prophylaxis
- Postoperative Nausea and Vomiting Prevention
- Perioperative Corticosteroid
- Preoperative Guidelines for Medications Prior to Surgery
- Management: COPD - Perioperative Pulmonary Risk Reduction
- Assess Preoperative Pulmonary Risk Stratification
- Consider delaying or canceling surgery when pulmonary risk exceeds potential surgical benefit
- Optimize COPD Management
- Manage acute lung disease prior to surgery
- Optimize Nutritional Status
- Serum Albumin <3.5 g/dl is most predictive marker of pulmonary risk
- Consider Pulmonary RehabilitationConsultation
- Consider Stress Dose Steroids
- Tobacco Cessation
- Always recommend (but does not impact immediate surgery risk)
- Assess Preoperative Pulmonary Risk Stratification
- Management: Sleep Apnea
- Bring CPAP machine to hospital on day of surgery
- Close monitoring with Anesthesia and sedation due to increased airway associated risks
- References
- Dummer (2009) Perioperative Guideline Review
- Qaseem (2006) Ann Intern Med 144(8):575-80 [PubMed]