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1/25 ๐๐๐ซ๐ข๐จ๐ฉ๐๐ซ๐๐ญ๐ข๐ฏ๐ ๐๐๐ซ๐๐ข๐๐ ๐๐๐ซ๐, ๐๐๐ฐ๐ซ๐ข๐ญ๐ญ๐๐ง ๐ซ๐
๐๐ก๐๐ญ ๐ข๐ญ ๐ข๐ฌ: the new 2026 AHA/ACC multisociety guideline for noncardiac surgery.
๐๐ก๐ฒ ๐ข๐ญ ๐ฆ๐๐ญ๐ญ๐๐ซ๐ฌ: roughly 313 million surgeries happen worldwide each year, and ASCVD is found in nearly 1 in 4 surgical inpatients.
๐๐ก๐ ๐ฌ๐ญ๐๐ค๐๐ฌ: perioperative death, MI, or stroke occurs in about 1 of every 33 surgical admissions in adults โฅ45.
#PerioperativeCare #Cardiology #MedEd #AHA
24/25 ๐๐ก๐ ๐๐ฉ๐๐ซ๐๐ญ๐ข๐ง๐ ๐๐จ๐จ๐ฆ ๐๐ญ๐ฌ๐๐ฅ๐ ๐ฅ๐ฉบ
๐๐ง๐๐ฌ๐ญ๐ก๐๐ฌ๐ข๐: volatile agents versus total intravenous anesthesia show no difference in cardiovascular events, and neither do neuraxial versus general.
๐๐๐ข๐ง: epidural analgesia for major abdominal surgery is reasonable to reduce perioperative cardiac events.
๐๐จ๐ง๐ข๐ญ๐จ๐ซ๐ข๐ง๐ : for unexplained hemodynamic instability, emergency TEE or focused cardiac ultrasound is reasonable when expertise is available.
#Anesthesia #Perioperative #MedEd #PatientSafety
25/25 ๐๐จ๐ฎ๐ซ ๐๐ฎ๐ซ๐ง ๐ฉบ๐ฌ
๐๐๐ฏ๐ ๐ญ๐ก๐ข๐ฌ: a stepwise, individualized, team-based approach beats reflexive testing before surgery.
๐๐ก๐๐ซ๐ ๐ข๐ญ: pass this thread to a colleague who manages patients around surgery.
๐๐ง๐ ๐๐ ๐: if it sharpened your perioperative plan, give it a like and a repost, and ask your questions below.
#Perioperative #Cardiology #MedEd #PatientSafety
