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Full-Text Articles in Medicine and Health Sciences

Does Perioperative Use Of Renin-Angiotensin System Inhibitors Improve Patient Outcomes In Cardiac Surgery?, Qian Ding, Mark Berguson, Zugui Zhang, Hong Liu, Huang Nie, Jordan E. Goldhammer, Rohinton J. Morris, Jianzhong Sun Oct 2019

Does Perioperative Use Of Renin-Angiotensin System Inhibitors Improve Patient Outcomes In Cardiac Surgery?, Qian Ding, Mark Berguson, Zugui Zhang, Hong Liu, Huang Nie, Jordan E. Goldhammer, Rohinton J. Morris, Jianzhong Sun

Department of Anesthesiology Posters

  • 2011 ACCF/AHA Guidelines for CABG: Uncertain about the safety of the preoperative administration of ACE inhibitors or ARBs in patients on chronic therapy and the safety of initiating ACE inhibitors or ARBs before hospital discharge
  • 2014 ESC Guidelines: ACE inhibitors might be stopped 1 to 2 days before CABG to avoid the potential deleterious consequences of perioperative hypotension
  • Guidelines state that ACE inhibitors or ARBs should be initiated postoperatively in CABG patients who were not receiving them preoperatively if they have an LVEF ≤40%, hypertension, diabetes, or CKD (Level of Evidence: A)
  • There is still a lack of large clinical …


Delays In Perioperative Patient Flow: An Initial Analysis, David Nelson, Md, Mba, Kent Berg, Md, Mba, Rebecca Barnett, Md, Mbchb, Oren Guttman, Md, Mba Mar 2019

Delays In Perioperative Patient Flow: An Initial Analysis, David Nelson, Md, Mba, Kent Berg, Md, Mba, Rebecca Barnett, Md, Mbchb, Oren Guttman, Md, Mba

Department of Anesthesiology Posters

  • When considering the operating room (OR) suite as a hospital business unit, one must not only acknowledge its revenue-earning contribution to financial solvency but also the potential for margin-eroding cost when utilized inefficiently. 1
  • One particularly challenging contributor to perioperative inefficiency is when patients are prevented from moving out of the OR into downstream phases of care once surgery has been completed. These so-called “PACU delays” (also known as recovery room admission delays) are particularly concerning for OR leadership because they increase direct labor costs and result in opportunity cost when additional surgery is prevented from being performed
  • At Thomas …