Michelle Graham on coronary stents. ASA, and POISE2. ASA prevents 59 MIs and causes 8 bleeds among those with prior PCI undergoing non-cardiac surgery.
#periopcongress18annals.org/aim/article-abstr…
Jessica Spence on patterns of mortality following non-cardiac surgery (VISION). 1.8% at 30 days with risk relatively evenly spread over that time. 1/3 of deaths after hospital discharge.
#periopcongress18
More important to know what sort of patient has a disease than what sort of disease a patient has - Dr Norm Buckley discussing appropriate use of opioids for post surgical pain @periopcongress#periopcongress18
Dr. J Spence: based on VISION 1/3 of postop deaths occur after discharge. MINS, sepsis, bleeding are biggest associated drivers of postop deaths overall. #periopcongress18
Dr. D Fergusson: Anemia, in some people may be adaptive and thus beneficial. RCT evidence doesn't show harm in anemia or benefit of transfusion/iron/epo (beyond transfusion avoidance). #periopcongress18
ASOS results reported by @BruceBiccard. In-hospital mortality comparable to 30d mortality in developed countries. This despite healthier patients and less morbid surgery. 0.7 specialists per 100:000 population.
#periopcongress18thelancet.com/journals/lance…
Duminda Wijeysundera reports results of METS study. Subjective assessment of exercise tolerance predicts nothing. Use the DASI, CPET, or NT-proBNP.
#periopcongress18
We are at the Perioperative Care Congress today to share our work with Beyond the Mask and the Choosing Wisely Implementation Guide. Please come and visit us in the Exhibit room for more information @periopcongress#periopcongress18@ChooseWiselyCA#BeyondtheMask
Jeff Healey on BRUISE2. Continued use of DOACs does not increase risk of bleeding complications following rhythm device placement. Antiplatelet agents do.
#periopcongress18