Perioperative Medicine

General 1. This patient has 17 allergies - including "general anesthesia" 2. Choosing a preoperative process 3. Perioperative surgical home care model - utopia or bureaucracy Preoperative Assessment 4. Choosing wisely: how to advise the patient on preoperative testing 5. My 79 year old patient for right inguinal hernia repair has no labs on file 6. Medication management - Drug eluting stent 2 months ago 7. Medication management - Substance use disorder 8. Indications for preoperative C-spine imaging for elective procedures 9. Prehabilitation before total hip replacement 10. Cardiopulmonary exercise testing (CPET) Age 11. Ex-premie for interval hernia repair at 11 weeks 12. Geriatric assessment - "the get up and go, got up and left" Organ Systems Cardiac 13. AHA guidelines application 14. Perioperative atrial fibrillation and anticoagulation management 15. Severe aortic stenosis - candidate for a surgicenter? 16. Does your cataract surgeon know you were admitted for heart failure last week? 17. Echo shows elevated pulmonary artery pressure Pulmonary 18. COPD - still smoking, still wheezing 19. Severe OSA in the ambulatory setting 20. Covid-19 Gastrointestinal 21. Cirrhosis and truly elective major surgery Neurological 22. Patient has seizures and needs "clearance" 23. Clinical Application of Perioperative Brain Health 24. Restrictive lung disease from Parkinson's disease rigidity - is it real? 25. 56 year old with a recent CVA for elective surgery - how soon is too soon? Renal 26. Avoiding exacerbation of chronic kidney disease Hematology 27. Preoperative anemia management - evaluation and treatment 28. Prolonged PTT in a healthy patient Endocrine 29. Elevated glucose on admission fingerstick - how high can we go? 30. Pheochromocytoma and MEN syndromes Other Comorbidities 31. Pregnant patient for non-obstetric surgery 32. Older primigravida with twin pregnancy for elective cesarean delivery 33. Shoulder replacement in patient who had a heart - lung transplant Surgical Considerations 34. Minimally invasive surgery and other elements of enhanced recovery protocol 35. Blood conservation Ethics & Shared Decision making 36. When DNR stands in the OR 37. Informed consent - do we really do this correctly? 38. Can I refuse to anesthetize this patient? 39. Difficult conversations Miscellaneous 40. Non-verbal autistic 30 year old for full mouth dental rehabilitation with MH 41. Patient with AAA with implanted spinal cord (neuro) stimulator 42. Patient with pacemaker dependent ICD for renal cryoablation 43. My friend's son requests surgery for gynecomastia - caused by the drugs he uses for bodybuilding 44. Perioperative care of the cancer patient PACU 45. Discharge criteria in developmentally disabled patient with OSA 46. My patient is twitching like a fish out of water 47. My patient in the PACU is not making any sense 48. The HR monitor is alarming in the PACU