Preop Flashcards
0
Q
Peri op death
A
Low risk 0 markers 0.3%
Intermediate risk 1-2 markers 2.2%
Hih risk 3 markers. 8.5%
1
Q
Cardiac risk
A
Cad CHF CVA Iddm Rf High risk surgery
2
Q
Higher the functional status lower the risk
A
Aortic highest risk
Carotid middle
Eye lowest
3
Q
Look for
A
USA Decompensated chf Arrhythmias Severe valve disease Symptomatic as risk 10%
4
Q
Stenotic valves do poorly with anesthesia
A
Do not cross clamp the aorta on AI patient
5
Q
Causes of periop events
A
Catecholamine surges Pro coagulatory state Blood loss Volume shift Plaque rupture Fixed lesions
6
Q
High risk patients
A
Use beta blockers
Don’t use in every one(poise study)
7
Q
Use statin
A
People who need tgem
8
Q
Asa
A
Will help in select patients
9
Q
Pci
A
POBA 14 days
BMS. 1-3 Mos
DES. 12 mos
