Cleveland Clinic Journal of Medicine: 74 (9 esuppl 1)

September 01, 2007; Volume 74,Issue 9 esuppl 1

Proceedings of the 3rd Annual Perioperative Medicine Summit Program, IMPACT Consults, Abstracts

Summit Faculty

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Summit Faculty
Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S4;

Summit Program

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Summit Program
Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S5-S6;

IMPACT Consults

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Do all patients undergoing bariatric surgery need polysomnography to evaluate for obstructive sleep apnea?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Roop Kaw, MD, Vesselin Dimov, MD and Charles Bae, MD

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S10-S12;
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Can brain natriuretic peptide identify noncardiac surgery patients at high risk for cardiac events?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Ali Usmani, MD, Priyanka Sharma, MD and Ashish Aneja, MD

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S12-S13;
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What is the significance of an isolated elevated activated partial thromboplastin time in the preoperative setting?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, William H. Morris, MD and Ajay Kumar, MD

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S13-S15;
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Does unrecognized diabetes in the preoperative period worsen postoperative outcomes?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Krista Andersen-Harris, DO and Christopher Whinney, MD

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S15-S16;
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Should an asymptomatic patient with an abnormal urinalysis (bacteriuria or pyuria) be treated with antibiotics prior to major joint replacement surgery?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Anitha Rajamanickam, MD, Saira Noor, MD and Ali Usmani, MD

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S17-S18;
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Does a carotid bruit predict cerebrovascular complications following noncardiac surgery in asymptomatic patients?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD and Robert Mayock, MD

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S18-S19;
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What risks does a history of pulmonary hypertension present for patients undergoing noncardiac surgery?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Roop Kaw, MD, Priyanka Sharma, MD and Omar A. Minai, MD

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S20-S21;
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Does a systolic murmur heard in the aortic area need to be further evaluated prior to elective surgery?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Thadeo Catacutan, MD, Ali Usmani, MD and Ashish Aneja, MD

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S21-S23;
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Are routine preoperative chest radiographs necessary in asymptomatic patients undergoing noncardiothoracic surgery?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Anitha Rajamanickam, MD, Preethi Patel, MD and Ali Usmani, MD

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S7-S8;
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Do preoperative nutritional interventions improve outcomes in malnourished patients undergoing elective surgery?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, David Gugliotti, MD, Ramnath Hebbar, MD and Brian Harte, MD

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S8-S10;

Oral Abstracts

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Preoperative Electrocardiograms: Patient Factors Predictive of Abnormalities
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Darin Correll, David Hepner, Lawrence Tsen, Candace Chang and Angela Bader

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S24;
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Impact of Combination Medical Therapy on Mortality in Vascular Surgery Patients
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Thomas Barrett, Motomi Mori and Caroline Koudelka

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S24;
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Do Large Electronic Medical Record Databases Permit Collection of Reliable and Valid Data for Quality Improvement Purposes?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Ashish Aneja, Eric Hixson, Brian Harte, Vesselin Dimov and Amir Jaffer

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S25;

Poster Abstracts

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PONV: ‘An Ounce of Prevention is Worth a Pound of Cure’
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Catherine Capitula and Shari Duguay

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S26;
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Optimization of Perioperative Processes Through Innovation and Technology for the Orthopaedic Operating Room of the Future
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, J.H. James Choi, Jennifer Blueter, Barbara Fahey, James Leonard, Ted Omilanowski, Vincent Riley, Mark Schauer, Timothy Sullivan, Viktor Krebs and Jonathan Schaffer

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S26;
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A Systematic Approach to Interpreting Electrocardiograms by Using Two Mnemonics
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Vesselin Dimov, Kalina Uzunova-Dimova, Ajay Kumar and Ashish Aneja

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S27;
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Improving and Standardizing Medicine Consultation
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Benny Gavi, Lisa Shieh, Keith Posley, Shahram Sepehri and Phil Pang

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S27;
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Medical Students’ Assessment of a Required Rotation in Perioperative Medicine and Pain
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Amir Jaffer, Samuel Irefin, John Tetzlaff and J. Harry Isaacson

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S27-S28;
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Improving Safety for Adult Surgical Patients with Obstructive Sleep Apnea
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD and Karen Watkins

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S28;
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A Multidisciplinary Approach to Improving the Safety of High-Risk Spine Surgery: The Complex Spine Protocol
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Peter Kallas, Anjali Desai, Andrew Naidech, Tyler Koski, Steve Ondra and Mary Lou Green

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S28;
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The Nurse Practitioner Role in Evidence-Based Medication Strategies
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Patricia Kidik, RNCS and Kathleen Holbrook, RNCS

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S29;
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Use of the Motivator/Hygiene Theory of Motivation to Guide Quality Efforts
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD and Ronald Kratz

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S29;
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A Novel Care Model Coordinating Inpatient and Outpatient Perioperative Care, Utilizing a Computerized Patient Tracking System
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Diane Levitan, Dominic Reilly, Christopher Wong, Kara Mitchell, Philip Vedovatti and Nason Hamlin

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S29-S30;
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The Development of an Admitting Team
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Kathleen McGrath, Janet Piatek and Jeanne Lanchester

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S30;
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Improve Communication Among Caregivers: Eliminating Unauthorized Abbreviations on Hospital Medical Records
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Magdalena G. Smith, Maura Walsh, Laurie Walsh, Marjorie Guglin, Dio Sumaygaysay, Evangelina Sapalasan, Frances Haug, Olivia Voellmicke, Mahin Sanjari, Nancy Cimitile and Mariya Chernyatskaya

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S30;
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Improve Preadmission Testing Process
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Magdalena G. Smith, Tak Tam, Rita Medrozo, Maura Walsh, Laurie Walsh and Marjorie Guglin

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S30-S31;
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Chronic Renal Insufficiency: An Oft-Forgotten Component of the Revised Cardiac Risk Index
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Vesselin Dimov, Ashish Aneja and Kalina Uzunova-Dimova

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S31;
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When Is a Stress Test Indicated in Patients with Chronic Kidney Disease Evaluated for Noncardiac Surgery?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Vesselin Dimov, Kalina Uzunova-Dimova, Mitko Badov and Saira Noor

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S31;
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When to Correct Hyperkalemia in Patients with Chronic Kidney Disease Prior to Noncardiac Surgery?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Vesselin Dimov, Kalina Uzunova-Dimova, Ajay Kumar, Anitha Rajamanickam and Mitko Badov

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S32;
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What Is the Optimal Time Frame for Performing Hemodialysis in Patients with End-Stage Renal Disease Prior to Surgery?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Vesselin Dimov, Kalina Uzunova-Dimova, Mitko Badov and Ajay Kumar

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S32;
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A Recent Vascular Graft in a Patient with End-Stage Renal Disease on Hemodialysis and the Need for Preoperative Antibiotic Prophylaxis
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Vesselin Dimov, Kalina Uzunova-Dimova, Mitko Badov and Ajay Kumar

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S32-S33;
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Postoperative Risk of Acute Kidney Injury in Patients with Chronic Kidney Disease
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Vesselin Dimov, Kalina Uzunova-Dimova, Ali Usmani and Ajay Kumar

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S33;
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Preoperative Hypoglycemia in a Patient on Detemir Insulin
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Ronald P. Olson, M. Angelyn Bethel and Lillian F. Lien

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S33;
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Evaluation of Mobitz I Atrioventricular Block in a Preoperative Patient
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD and Margaret Pothier

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S33-S34;
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Perioperative Cardiac Arrest in a Patient with Aortic Stenosis: Is It Preventable?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Zdravka Zafirova and Bobbie Sweitzer

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S34;
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Antiplatelet Therapy Interruption and Perioperative Stent Thrombosis: Too Much, Too Early
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Zdravka Zafirova and Bobbie Sweitzer

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S34;
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Use of an At-Home Internet-Based Patient Evaluation Tool for Preoperative Assessment
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Margaret Pothier, CRNA, David Hepner, MD, Darin Correll, MD, Thomas Ho, MD, Alina Lazar, MD and Angela Bader, MD, MPH

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S35;
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The Utility of a Preoperative Clinic Questionnaire to Predict Postoperative Delirium Risk
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, David Hepner, Darin Correll, Thomas Ho, Juergen Bludau, Jhoanna Santos and Angela Bader

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S35;
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A Drug by Any Other Name: Preoperative Insulin Regimens
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Carlee Clark, Vivek Moitra and Bobbie Jean Sweitzer

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S35-S36;
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Preoperative Cardiovascular Risk Factor Assessment in Morbidly Obese Patients with an Abnormal Electrocardiogram
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Girish Mood, Roomana Akhtar, Rajagopal Reddy Edula, Gunjana Bhandari, Vishal Gupta and Michael Koch

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S36;
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Cardiac Testing Prior to Nonvascular Surgery: The Results from a Newly Formed Preoperative Clinic
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Sheela Pai, Giang Tran, Alvin Blaustein, Prasad Atluri and Salwa Shenaq

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S36;
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Which Is Better—Half-Dose or No Insulin on Day of Surgery?
Amir K. Jaffer, MD, Franklin A. Michota, MD, Angela M. Bader, MD, MHP, Raymond Borkowski, MD, Collin Kroen, MD, Brian Harte, MD, David Gugliotti, MD, Kirk Smith, Vivek Moitra, Melinda Drum and Bobbie Jean Sweitzer

Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S37;

Index of Authors

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Index of Authors
Cleveland Clinic Journal of Medicine September 2007, 74 (9 esuppl 1) S38;

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Table of Contents

Proceedings of the 3rd Annual Perioperative Medicine Summit Program, IMPACT Consults, Abstracts

Summit Faculty

Summit Program

IMPACT Consults

Oral Abstracts

Poster Abstracts

Index of Authors

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