Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

IntroductiontoPerioperativeManagement

Outline• PainManagement• PerioperativeMedications• PerioperativeFluidManagement• Diet• FoleyCatheters• VTEProphylaxis• Antibiotics• GlycemicControl

PainManagement

PainManagement

PainManagement

PainManagement

PainManagement

PainManagement

PerioperativeMedications


• Beta-blockers:mustbecontinuedperiop (holdfor↓HRorBP)butdoNOTstartnewBB• Aspirin:likelynobenefitperiop (noeffectondeathorAMI,increasedbleeding)• Anticoagulation:Bridgingvs.nobridging.




PerioperativeFluidManagement


• Associatedwithhyperchloremic metabolicacidosis• Beneficialinclosedheadinjury

PerioperativeFluidManagement

Transfusions

Diet

TPNandTubeFeeds

• ConsultDietician• Learntodothecalculationyourself

TPNandTubeFeeds

TPNandTubeFeeds

Urinary(Foley)Catheters

Urinary(Foley)Catheters

VTEProphylaxis

Antibiotics

GlycemicControl

GlycemicControl

Documents

Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative