- See:
Cardiac Orders / Meds:
- Comp. of Multifactorial Index Score to Estimate Cardiac Risk in N.C.S. (Goldman L;
Ann Surg 198:780, 1983)
S3 gallop or jugular venous distension or preoperative P.E.
Transmural or subendocardial M.I. in prev. 6 months
PVC > 5/min. at any time
Rhythm other than NSR or P.A.C. on last preop
EKG
Age over 70 years
Emergency operation
Intra - thoracic/peritoneal or aortic surgery
Evidence for important valvular
aortic stenosis
Poor general medical condition
-
Hypokalemia: <
3.0
- HCO3
< 20.0
- BUN
> 50.0
- Cr
> 3.0
- PO2
< 60.0
- PCO2
> 50.0
- Incr AST.
- pt bed ridden from non cardiac causes;
- High Risk > 5 points
- Risk of Death from Cardiac causes w/ > 25 points
- 10 gm/100 ml of hemoglobin is regarded by many as minimal for general anesthesia, especially w/ CAD;
- when attempting physiologic correction of chronic anemia is seldom to administer more than 1 unit
of blood per day, thereby allowing time for excretion of excess plasma;
Multifactorial index of cardiac risk in noncardiac surgical procedures.
Stair climbing as an indicator of pulmonary function.
A comparison of the perioperative morbidity in total joint arthroplasty
in the obese and nonobese patient.
Preoperative optimization of cardiovascular hemodynamics improves outcome
in peripheral vascular surgery. A prospective, randomized clinical trial
Prediction of cardiac and pulmonary complications related to elective
abdominal and noncardiac thoracic surgery in geriatric patients.
Same day versus staged anterior-posterior spinal surgery in a neuromuscular scoliosis population:
The evaluation of medical complications.
RL Ferguson MD et al.
Journal of Pediatric Orthopaedics. Vol 16. No 3. p 293. 1996.
