IntroductiontoPerioperativeManagement

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

PainManagement

PainManagement

PainManagement

PainManagement

PainManagement

PainManagement

PerioperativeMedications

PerioperativeMedications

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

PerioperativeMedications

PerioperativeMedications

PerioperativeMedications

PerioperativeFluidManagement

PerioperativeMedications

• Associatedwithhyperchloremic metabolicacidosis• Beneficialinclosedheadinjury

PerioperativeFluidManagement

Transfusions

Diet

TPNandTubeFeeds

• ConsultDietician• Learntodothecalculationyourself

TPNandTubeFeeds

TPNandTubeFeeds

Urinary(Foley)Catheters

Urinary(Foley)Catheters

VTEProphylaxis

Antibiotics

GlycemicControl

GlycemicControl