Cleveland Clinic Journal of Medicine

Proceedings of the 2nd Annual
Cleveland Clinic
Perioperative Medicine Summit
In Conjunction with the
Society of Perioperative Assessment and Quality Improvement

Program / IMPACT Consults / Abstracts

Electronic Supplement 1 to Volume 73, September 2006

Supplement Co-Editors and Summit Co-Directors:

Amir K. Jaffer, MD
Cleveland Clinic

Franklin A. Michota, Jr., MD
Cleveland Clinic

Summit Co-Directors:

Angela M. Bader, MD
Harvard Medical School
Brigham and Women's Hospital

Raymond Borkowski, MD
Cleveland Clinic

Associate Editors for IMPACT Consults:

Collin Kroen, MD
Cleveland Clinic

Brian Harte, MD
Cleveland Clinic

Electronic Supplement
September
2006

Electronic Supplement 1
to Volume 73

This supplement is supported by educational grants from
Sanofi-Aventis
(Platinum Level)
and
Boehringer Ingelheim,
Merck & Co., Inc.,
and Prompte, LLC
(Bronze Level).

Guidelines for grant-supported supplements to the Cleveland Clinic Journal of Medicine

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CONTENTS

From the Supplement Editors Amir K. Jaffer, MD, and Franklin A. Michota, Jr., MD Summit Faculty Summit Program IMPACT Consults (Click here for a PDF of the entire collection of IMPACT Consults) Does elevated blood pressure at the time of surgery increase perioperative cardiac risk? Collin Kroen, MD When is it appropriate to stop antiplatelet therapy in a patient with a drug-eluting stent prior to noncardiac surgery? Anitha Rajamanickam, MD, Vaishali Singh, MD, MPH, MBA, and Ashish Aneja, MD Should statins be discontinued preoperatively? Paul J. Grant, MD, and Navin Kedia, DO What is the appropriate means of perioperative risk assessment for patients with cirrhosis? Brian Harte, MD Who is at risk for developing acute renal failure after surgery? Vesselin Dimov, MD, Ali Usmani, MD, Saira Noor, MD, and Ajay Kumar, MD (The table in this article is reprinted courtesy of Lippincott Williams & Wilkins, http://lww.com) Why treat anemia in the preoperative period of joint replacement surgery with erythropoietin? Ajay Kumar, MD, and Vesselin Dimov, MD Obstructive sleep apnea: What to do in the surgical patient? Roop Kaw, MD, and Joseph Golish, MD What is the optimal venous thromboembolism prophylaxis for patients undergoing bariatric surgery? David V. Gugliotti, MD Do hip fractures need to be repaired within 24 hours of injury? Christopher M. Whinney, MD Is postoperative atrial fibrillation in patients undergoing noncardiothoracic surgery an important problem? Ashish Aneja, MD, and Wassim H. Fares, MD How can postoperative ileus be prevented and treated? Vaishali Singh, MD, MPH, MBA Abstracts (Click here for a PDF of the entire collection of Abstracts) Oral Abstracts Is Discontinuation of Antiplatelet Therapy after 6 Months Safe in Patients with Drug-Eluting Stents Undergoing Noncardiac Surgery? Mihir Bakhru, Wael Saber, Daniel Brotman, Deepak Bhatt, Ashish Aneja, Katherina Tillan-Martinez, Amir Jaffer Initiating a Preoperative Cardiac Risk Assessment Quality Improvement Program: The Hurdles to Changing Traditional Paradigms Eric Hixson, Karl McCleary, Vikram Kashyap, Vaishali Singh, Brian Harte, Ashish Aneja, Brian Parker, Raymond Borkowski, Walter Maurer, Venkatesh Krishnamurthi, Sue Vitagliano, Jacqueline Matthews, Linda Vopat, Michael Henderson, Amir Jaffer Impact of a Preoperative Medical Clinic on Operating Room Cancellation Rates in Orthopedic Surgery Peter Kallas, Anjali Desai, Jeanette Bauer Poster Abstracts Innovations in Perioperative Medicine Poster 1: Best Safety Practices to Prevent Postoperative Myocardial Infarction Evan Benjamin, Janice Fitzgerald, Gary Kanter, Michael Rothberg, Gina Trelease Poster 2: Blog Web Site as a New Educational and Promotional Medium in Perioperative Medicine Vesselin Dimov, Shahid Randhawa, Ajay Kumar, Joshua Schwimmer, Mitko Badov, Amir Jaffer Poster 3: Development of a Validated Questionnaire: The Satisfaction with General Anesthesia Scale Joseph Foss, Maria Inton-Santos, Marco Maurtua, Edward Mascha Poster 4: Perioperative Medicine and Pain: A Required Advanced Core Clerkship for Third-Year Medical Students Amir Jaffer, Samuel Irefin, John Tetzlaff, J. Harry Isaacson, Andrew Fishleder, Michael Roizen Poster 5: Optimal Administration of Perioperative Antibiotics Using System Redesign Gary Kanter, Janice Fitzgerald, Peter Lindenauer, Evan Benjamin Poster 6: Blood Conservation Protocol with Erythropoietin in the Preoperative Period of Joint Replacement Surgery Ajay Kumar, Vesselin Dimov, Martin Schreiber, Robert Helfand, Brian Parker, Victor Krebs, Amir Jaffer Poster 7: Evolution of the Nurse Practitioner (NP) Role in the Center for Preoperative Evaluation (CPE) at Brigham and Women's Hospital Ellen Leary, Kathleen McGrath, Jeanne Lanchester Poster 8: Development and Implementation of a Web Site for the Center for Preoperative Evaluation (CPE) Kathleen McGrath, Susan Crimmins, Margaret Pothier, Jeanne Lanchester Poster 9: Patient Education Tool for the Preoperative Process and the Role of the Medical Consultant Franklin Michota, MD, Amir Jaffer, MD Poster 10: The Internal Medicine Perioperative Assessment Center: An Innovation in the Perioperative Management of Medical Comorbidities at a Comprehensive Cancer Center Sunil Sahai, Jessica Wobb, Ellen Manzullo Poster 11: PAC Collaborative Practice Model Donna Sassi, Terry Dagesse, Sharon Dismore, Donna Serafin, Maryanne Rinaldi, Stephanie Laude Poster 12: Development and Implementation of Beta-Blocker Recommendation Valerie Watkins, Katie Conyers, Sandy Godcharles, Robert Page Poster 13: Development of Pre-Procedure Consult Services Valerie Watkins, Katie Conyers, Jose Melendez Perioperative Clinical Vignettes Poster 14: Isolated Left Bundle Branch Block in a Patient Undergoing Elective Noncardiac Surgery Thadeo Catacutan, Ali Usmani, Amir Jaffer Poster 15: Avoiding Delirium Kathleen Franco, Isabel Schuermeyer, Leopoldo Pozuelo, George Tesar Poster 16: Cardiac Sarcoma—The Role of Multimodality Cardiovascular Imaging Girish Mood, Anthony Bavry, Manuel Cerqueira, Paul Schoenhagen, David Strasser, Brian Griffin Poster 17: Asymptomatic Bacteriuria before Nonprosthetic Joint Surgery Anitha Rajamanickam, Vesselin Dimov, Ali Usmani, Saira Noor, Ajay Kumar Poster 18: Negative T Waves on the Preoperative Electrocardiogram—A Cause for Worry? Chetan Shenoy Poster 19: Preoperative Hypokalemia Ali Usmani, Priyanka Sharma, Saira Noor Poster 20: Preoperative Evaluation Can Aid in the Diagnosis of CAD and Risk Assessment and Management Zdravka Zafirova, Bobbie Sweitzer Research in Perioperative Medicine Poster 21: Needs Analysis for the Development of a Preoperative Clinic Protocol for Perioperative Beta-Blockade Darin Correll, Angela Bader, Joshua Beckman, Robert Klickovich, Kenneth Park, David Hepner Poster 22: Improving Efficiency in a Preoperative Clinic Miriam Harnett, Darin Correll, Angela Bader, David Hepner Poster 23: Formalized Preoperative Assessment for Noncardiac Surgery at a Large Tertiary Care Medical Center Leads to Higher Rates of Perioperative Beta-Blocker Use Amir Jaffer, Brian Harte, Eric Hixson, Brian Parker, Ashish Aneja, Vikram Kashyap, Raymond Borkowski, Walter Maurer, Vaishali Singh, Michael Militello, Leonardo Rodriguez, Daniel Brotman, Venkatesh Krishnamurthi, Franklin Michota, Sue Vitagliano, Michael Henderson Poster 24: Insulin Errors in Hospitalized Patients Deborah Ross, Amir Hamrahian, Mary Beth Modic, Byron Hoogwerf, Elias Siraj, Sethu Reddy Poster 25: A Survey of Perioperative Beta-Blockade at a Comprehensive Cancer Center Sunil Sahai, Anne Porter, Ellen Manzullo, Tayab Andrabi, Laurence Holmes Poster 26: Risk Factors for Long-Term Mortality among Heart Failure Patients after Elective Major Noncardiac Surgery Olivia Cai, Christopher Phillips, Daniel Brotman, Christopher Whinney, Franklin Michota, Mario Garcia, Ashok Panneerselvam, Eric Hixson, Brian Parker, Amir Jaffer Index of Authors and Presenters
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