Cardiovascular Medicine Book

http://www.fpnotebook.com/

Surgical Risk for Cardiac Event

Aka: Surgical Risk for Cardiac Event, High Risk Surgery, Intermediate Risk Surgery, Low Risk Surgery, Category I Surgery
  1. Indications
    1. Preoperative Cardiovascular Evaluation
  2. Type: High Risk Surgery (Cardiac Risk >5%)
    1. Emergency surgery (especially over age 75 years)
    2. Cardiac procedures
    3. Aortic or other major vascular procedures
    4. Peripheral arterial vascular procedures
    5. Prolonged surgery anticipated (>2 hours)
      1. Anticipated large fluid shift or blood loss
      2. Examples: Whipple Procedure, Major spinal surgery
  3. Type: Intermediate Risk Surgery (Cardiac Risk 1-5%)
    1. Orthopedic surgery
    2. Urologic surgery
    3. Uncomplicated abdominal or thoracic surgery
    4. Uncomplicated head and neck surgery
    5. Carotid endarterectomy
    6. Prostate Surgery
  4. Type: Low Risk Surgery (Category I, Cardiac Risk <1%)
    1. Endoscopy
    2. Bronchoscopy
    3. Hysteroscopy
    4. Cystoscopy
    5. Dermatologic procedures (skin and subcutaneous tissue)
    6. Breast biopsy or other Breast surgery
    7. Ophthalmologic Procedures (e.g. Cataract resection)
  5. Resources
    1. STS Risk Calculator for vascular surgery perioperative risk
      1. http://www.sts.org/sections/stsnationaldatabase/riskcalculator/

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