Peri-Operative Medicine   

Do you find risk scores such as VOCAL-Penn to be helpful?

The index question is: "neurosurgeons lately want to stop hydroxychloroquine prior to spinal surgery. Anyone allowing this for lupus patients and for ...

How do you decide between simple transfusion and red cell exchange?While the 2020 ASH Guidelines provide some conditional guidance on transfusion supp...

Do you find them more helpful as predictors of perioperative risk or as a baseline to detect post-operative adverse cardiac events?

O'Toole et al., PMID 36652352

In other words, do you consider administering pre-operative IV fluids routinely or only under specific circumstances?

For example, would you recommend using enoxaparin 30 mg BID instead of 40 mg QD?

The bariatrics department wants patients to hold immunosuppressants for 4 months prior to bariatric surgery.