Anesthesia procedures

Question 1

Who should be on BB ?

Answer 1

he current 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery recommendations for BBs are as follows:

• Continue in those taking them chronically (class I)
• Manage according to clinical circumstances (class IIa)
• Begin in patients with intermediate- or high-risk myocardial ischemia noted in preoperative risk stratification tests (class IIb)
• Begin in patients with 3 or more RCRI risk factors (class IIb)
• In patients in whom beta-blocker therapy is initiated, begin more than 1 day before surgery (class IIb)
• Not start on the day of surgery (class III)