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General Internal Medicine
Peri-Operative Medicine
Questions discussed in this category
How do you manage anticoagulation/antiplatelet therapies with strong indications for uninterrupted therapy in setting of urgent procedures?
For example, anticoagulation for recent, significant PE or dual antiplatelet therapy for recent MI, but requiring urgent procedures such as biopsy of ...
6 Answers available
Are you more permissive of perioperative interruption of anticoagulation for VTE depending on the location and relative chronicity of the thrombus?
1 Answer available
How many days prior to surgery do you recommend stopping SGLT2 inhibitors and when is it safe to resume therapy?
2 Answers available
How do you approach balancing the risks and benefits of elective surgery with patients who have multiple co-morbidities (e.g., frailty, chronic kidney disease, and COPD), when standard risk calculators do not capture the full complexity of their condition?
2 Answers available
How many days prior to elective major surgery do you recommend holding oral GLP 1 R agonist therapy?
4 Answers available
What is your approach to checking preoperative cardiac biomarkers such as troponin and BNP?
Do you find them more helpful as predictors of perioperative risk or as a baseline to detect post-operative adverse cardiac events?
2 Answers available
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Papers discussed in this category
Circulation, 2021 Oct 04
Diagnosis and Management of Patients With Myocardial Injury After Noncardiac Surgery: A Scientific Statement From the American Heart Association.
Circulation, 2024 Sep 24
2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2024 Oct 29
Multisociety clinical practice guidance for the safe use of glucagon-like peptide-1 receptor agonists in the perioperative period.
Journal of thrombosis and haemostasis : JTH, 2008-08
Comparison between idiopathic deep vein thrombosis of the upper and lower extremity regarding risk factors and recurrence.
BMJ (Clinical research ed.), 2011 May 24
Influence of preceding length of anticoagulant treatment and initial presentation of venous thromboembolism on risk of recurrence after stopping treatment: analysis of individual participants' data from seven trials.
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