Foreword: New topics, returning features, tools for enduring challenges
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)

Are routine preoperative chest radiographs necessary in asymptomatic patients undergoing noncardiothoracic surgery?
Anitha Rajamanickam, MD, Preethi Patel, MD, and Ali Usmani, MD

Do preoperative nutritional interventions improve outcomes in malnourished patients undergoing elective surgery?
Ramnath Hebbar, MD, and Brian Harte, MD

Do all patients undergoing bariatric surgery need polysomnography to evaluate for obstructive sleep apnea?
Roop Kaw, MD, Vesselin Dimov, MD, and Charles Bae, MD

Can brain natriuretic peptide identify noncardiac surgery patients at high risk for cardiac events?
Ali Usmani, MD, Priyanka Sharma, MD, and Ashish Aneja, MD

What is the significance of an isolated elevated activated partial thromboplastin time in the preoperative setting?
William H. Morris, MD, and Ajay Kumar, MD

Does unrecognized diabetes in the preoperative period worsen postoperative outcomes?
Krista Andersen-Harris, DO, and Christopher Whinney, MD

Should an asymptomatic patient with an abnormal urinalysis (bacteriuria or pyuria) be treated with antibiotics prior to major joint replacement surgery?
Anitha Rajamanickam, MD, Saira Noor, MD, and Ali Usmani, MD

Does a carotid bruit predict cerebrovascular complications following noncardiac surgery in asymptomatic patients?
Robert Mayock, MD

What risks does a history of pulmonary hypertension present for patients undergoing noncardiac surgery?
Roop Kaw, MD, Priyanka Sharma, MD, and Omar A. Minai, MD

Does a systolic murmur heard in the aortic area need to be further evaluated prior to elective surgery?
Thadeo Catacutan, MD, Ali Usmani, MD, and Ashish Aneja, MD

Abstracts
(Click here for a PDF of the entire collection of Abstracts)

Oral Abstracts

Preoperative Electrocardiograms: Patient Factors Predictive of Abnormalities
Darin Correll, David Hepner, Lawrence Tsen, Candace Chang, Angela Bader

Impact of Combination Medical Therapy on Mortality in Vascular Surgery Patients
Thomas Barrett, Motomi Mori, Caroline Koudelka

Do Large Electronic Medical Record Databases Permit Collection of Reliable and Valid Data for Quality Improvement Purposes?
Ashish Aneja, Eric Hixson, Brian Harte, Vesselin Dimov, Amir Jaffer

Poster Abstracts

Innovations in Perioperative Medicine
(Note: Abstracts 4, 6, and 10 were chosen as the best in this section by the Innovation Abstracts Committee.)

Poster 1: PONV: ‘An Ounce of Prevention is Worth a Pound of Cure’
Catherine Capitula, Shari Duguay

Poster 2: Optimization of Perioperative Processes Through Innovation and Technology for the Orthopaedic Operating Room of the Future
J.H. James Choi, Jennifer Blueter, Barbara Fahey, James Leonard, Ted Omilanowski, Vincent Riley, Mark Schauer, Timothy Sullivan, Viktor Krebs, Jonathan Schaffer

Poster 3: A Systematic Approach to Interpreting Electrocardiograms by Using Two Mnemonics
Vesselin Dimov, Kalina Uzunova-Dimova, Ajay Kumar, Ashish Aneja

Poster 4: Improving and Standardizing Medicine Consultation
Benny Gavi, Lisa Shieh, Keith Posley, Shahram Sepehri, Phil Pang

Poster 5: Medical Students’ Assessment of a Required Rotation in Perioperative Medicine and Pain
Amir Jaffer, Samuel Irefin, John Tetzlaff, J. Harry Isaacson

Poster 6: Improving Safety for Adult Surgical Patients with Obstructive Sleep Apnea
Karen Watkins

Poster 7: A Multidisciplinary Approach to Improving the Safety of High-Risk Spine Surgery:
The Complex Spine Protocol
Peter Kallas, Anjali Desai, Andrew Naidech, Tyler Koski, Steve Ondra, Mary Lou Green

Poster 8: The Nurse Practitioner Role in Evidence-Based Medication Strategies
Patricia Kidik, Kathleen Holbrook

Poster 9: Use of the Motivator/Hygiene Theory of Motivation to Guide Quality Efforts
Ronald Kratz

Poster 10: A Novel Care Model Coordinating Inpatient and Outpatient Perioperative Care, Utilizing a Computerized Patient Tracking System
Diane Levitan, Dominic Reilly, Christopher Wong, Kara Mitchell, Philip Vedovatti, Nason Hamlin

Poster 11: The Development of an Admitting Team
Kathleen McGrath, Janet Piatek, Jeanne Lanchester

Poster 12: Improve Communication Among Caregivers: Eliminating Unauthorized Abbreviations on Hospital Medical Records
Magdalena G. Smith, Maura Walsh, Laurie Walsh, Marjorie Guglin, Dio Sumaygaysay, Evangelina Sapalasan, Frances Haug, Olivia Voellmicke, Mahin Sanjari, Nancy Cimitile, Mariya Chernyatskaya

Poster 13: Improve Preadmission Testing Process
Magdalena G. Smith, Tak Tam, Rita Medrozo, Maura Walsh, Laurie Walsh, Marjorie Guglin

Perioperative Clinical Vignettes

Poster 14: Chronic Renal Insufficiency: An Oft-Forgotten Component of the Revised Cardiac Risk Index
Vesselin Dimov, Ashish Aneja, Kalina Uzunova-Dimova

Poster 15: When Is a Stress Test Indicated in Patients with Chronic Kidney Disease Evaluated for Noncardiac Surgery?
Vesselin Dimov, Kalina Uzunova-Dimova, Mitko Badov, Saira Noor

Poster 16: When to Correct Hyperkalemia in Patients with Chronic Kidney Disease Prior to Noncardiac Surgery?
Vesselin Dimov, Kalina Uzunova-Dimova, Ajay Kumar, Anitha Rajamanickam, Mitko Badov

Poster 17: What Is the Optimal Time Frame for Performing Hemodialysis in Patients with End-Stage Renal Disease Prior to Surgery?
Vesselin Dimov, Kalina Uzunova-Dimova, Mitko Badov, Ajay Kumar

Poster 18: A Recent Vascular Graft in a Patient with End-Stage Renal Disease on Hemodialysis and the Need for Preoperative Antibiotic Prophylaxis
Vesselin Dimov, Kalina Uzunova-Dimova, Mitko Badov, Ajay Kumar

Poster 19: Postoperative Risk of Acute Kidney Injury in Patients with Chronic Kidney Disease
Vesselin Dimov, Kalina Uzunova-Dimova, Ali Usmani, Ajay Kumar

Poster 20: Preoperative Hypoglycemia in a Patient on Detemir Insulin
Ronald P. Olson, M. Angelyn Bethel, Lillian F. Lien

Poster 21: Evaluation of Mobitz I Atrioventricular Block in a Preoperative Patient
Margaret Pothier

Poster 22: Perioperative Cardiac Arrest in a Patient with Aortic Stenosis: Is It Preventable?
Zdravka Zafirova, Bobbie Sweitzer

Poster 23: Antiplatelet Therapy Interruption and Perioperative Stent Thrombosis:
Too Much, Too Early
Zdravka Zafirova, Bobbie Sweitzer

Research in Perioperative Medicine

Poster 24: Use of an At-Home Internet-Based Patient Evaluation Tool for Preoperative Assessment
Margaret Pothier, David Hepner, Darin Correll, Thomas Ho, Alina Lazar, Angela Bader

Poster 25: The Utility of a Preoperative Clinic Questionnaire to Predict Postoperative Delirium Risk
David Hepner, Darin Correll, Thomas Ho, Juergen Bludau, Jhoanna Santos, Angela Bader

Poster 26: A Drug by Any Other Name: Preoperative Insulin Regimens
Carlee Clark, Vivek Moitra, Bobbie Jean Sweitzer

Poster 27: Preoperative Cardiovascular Risk Factor Assessment in Morbidly Obese Patients with an Abnormal Electrocardiogram
Girish Mood, Roomana Akhtar, Rajagopal Reddy Edula, Gunjana Bhandari, Vishal Gupta, Michael Koch

Poster 28: Cardiac Testing Prior to Nonvascular Surgery: The Results from a Newly Formed Preoperative Clinic
Sheela Pai, Giang Tran, Alvin Blaustein, Prasad Atluri, Salwa Shenaq

Poster 29: Which Is Better—Half-Dose or No Insulin on Day of Surgery?
Kirk Smith, Vivek Moitra, Melinda Drum, Bobbie Jean Sweitzer

Index of Authors

Copyright © 2007 The Cleveland Clinic Foundation. All rights reserved.

The statements and opinions expressed in this supplement to the Cleveland Clinic Journal of Medicine are those of the authors and not necessarily of the Cleveland Clinic Foundation or its Board of Trustees. They do not necessarily represent formal practice guidelines in effect at Cleveland Clinic.