Surgical Miscellany Flashcards
1
Q
Components of Revised Cardiac Risk Index for perioperative evaluation
A
History of ischemic heart disease, CHF, CVA, DM, CKD
High risk surgery -> suprainguinal vascular, intraperitoneal, intrathoracic
3 or more predictors = 11% risk of cardiac death, nonfatal MI, or nonfatal cardiac arrest
2
Q
When is a preop EKG indicated?
A
Known CAD, PAD, or CVD
3
Q
When is a preop echocardiogram indicated?
A
Dyspnea of unknown origin
Current or prior CHF w/worsening dyspnea or change in clinical status if no echo w/in 1 year
4
Q
When is a preop exercise stress test indicated?
A
Unstable or severe angina Recent MI AV block Symptomatic ventricular arrhythmia Supraventricular arrhythmias with uncontrolled rate Symptomatic bradycardia New ventricular tachycardia Severe aortic or mitral stenosis 1-2 risk factors and poor functional capacity
5
Q
How much faster do wounds heal when closed secondarily then if left to heal by secondary intention?
A
7 weeks
