Nice review of the topic - preop management of ACEI/ARBs. Continuation Versus Discontinuation of Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers i…

Novel findings from a small study correlating night-nadir HR > 67 bpm with significantly increased risk of serious adverse events. Should we be studying ivabradine or beta-blockers again???

Assessment of Geriatric Emergency Surgery (AGES) score to predict risk of 30d mortality & major postop complications in geriatric pts for urgent/emergency surgery using pre-surgical existing EHR data.

Seriously flawed retrospective study in open access journal creating bizzare model (CLASHED) to predict MINS in elderly pts undergoing emergent/urgent surgery & inappropriately comparing it to RCRI. I wouldn't use this. #mdpijcdd via @JCDD_MDPI

Analysis confirming that subjective assessment (various methods) of exercise capacity <4METs is associated with postop cardiac & other complications. Preop subjective functional capacity & postop outcomes in adult noncardiac surgery: a systematic …

RT @SPAQIedu: #SpeakerSpotlight for the 20th Perioperative Medicine Summit! "Perioperative Risk Calculators" will be presented by the Go…

FYI: Comparing Anticoagulation Strategies for Venous Thromboembolism Associated With Active Cancer: A Systematic Review and Meta-Analysis | JACC: CardioOncology

Substudy of POISE-3 showed TXA significantly reduced the risk of perioperative bleeding without increasing cardiovascular risk in patients undergoing general surgery procedures. Safety and Efficacy of Tranexamic Acid in General Surgery

Contrary to expectations, pts with preop CKD had a significant improvement in eGFR postop. Pts w/o CKD had minimal change. Postop AKI negated the eGFR improvement in CKD pts & exacerbated the decline in non-CKD pts.

Nice commentary on the conflicting approaches of the ACC, ESC, & CCS guidelines to a 65 y/o pt w/o cardiac hx undergoing cholecystectomy Where your heart lies across the Atlantic may demand further assessment in cardiovascular management

A warning to everyone-particularly junior faculty. DO NOT AGREE TO BE ON THESE EDITORIAL BOARDS and DO NOT PAY TO HAVE YOUR MANUSCRIPTS PUBLISHED IN THESE BOGUS JOURNALS! Predatory Journals

Interesting review and consensus statement from the UK: continue GLP1-RAs periop and stop SGLT-2s only 1 day before surgery. Both of these are in contrast to recommendations in the US. They acknowledge the lack of good data.

Preop eGFR was a significant predictor of cardiac risk. This confirms the suggestion from the old reconstructed RCRI to replace serum Cr with eGFR. Low GFR(esp<30) was significant, but consider age-adjustment.

Nice interview with Annemarie Thompson about changes in the 2024 ACC Periop guidelines. SHM members: remember to join our Periop Chat with the experts on Monday 7PM to go into more details about the guideline. You need to register on the SHM website.

Finally - it’s about time. They fired the defensive coach. Miami’s horrible defense was the cause of their losses. Offense was #1 in the country - defense #65. Defense has deteriorated since Manny Diaz left. Cristobal should also get a pay cut from his ridiculously high salary.

Anyone see a problem with the editing in this open-access journal Heliyon? Postoperative delirium is common postoperative complications in noncardiac surgery. While delirium prophylaxis has not yielded unequivocal support. The effects of glucocorticoids on POD remains unclear.

Miami loses again in Pop-Tart Bowl. Disappointing once again - all offense-no defense. Cam Ward played a great half. Surprised he played at all. Defense couldn’t stop Iowa State & UM backup QB didn’t look good. Failed to get into FG range at the end.

Study incl 2/3 intracranial procedures had 11% covert stroke rate assoc w incr postop delirium & long-term cognitive dysfunction. Rate in non-neurosurg pts only 3% (less than NeuroVISION)