1. Non-cardiac eval

General Guide - Perioperative Management SOP

ASA Classification

  1. Surgical Classification Systems
    1. General Classification
    2. ACC/AHA Classification
  2. Cardiac Evaluation for Noncardiac Surgery
    1. Online Algorithm for Cardiac Evaluation
    2. Cardiac Evaluation and Care Algorithm for Noncardiac Surgery
    3. Recommendations for Noninvasive Stress Testing before Noncardiac Surgery
    4. Recommendations for Resting 12-lead ECG
    5. Recommendations for Noninvasive Evaluation of LV Function
    6. Recommendations for Perioperative Beta-blockade
    7. Managing Patients with Pacemaker or ICD
    8. Guidelines for Patients with Recent PCI
    9. SBE Prophylaxis
    10. 2007 ACC/AHA Guidelines on Perioperative Cardiovascular Evaluation andCare for Noncardiac Surgery
  3. Risk Assessment for Postoperative Pulmonary Complications
    1. Chest X-Ray and Spirometry Guidelines
    2. Postoperative Pneumonia Risk Index
    3. Respiratory Failure Risk Index
    4. Strategies to Reduce Perioperative Pulmonary Complications
  4. Laboratory Testing Recommendations
    1. Testing Guidelines for Healthy Patients
    2. Testing Guidelines for Patients with Coexisting Disease
    3. Testing Costs for Inpatients and Outpatients
    4. Normal Lab Value Ranges
  5. Hematology
    1. Management of Anticoagulation Preoperatively
    2. Management of Antiplatelet Therapy
    3. Regional Anesthesia and Anticoagulation
    4. Prevention of DVT and PE
    5. Blood Typing and Screening
    6. Blood Product Transfusion Transmission Rates
  6. Anesthesia
    1. Difficult Airway Management
    2. NPO Guidelines
    3. Aspiration Risk Assessment and Prevention
    4. Post-operative Nausea and Vomiting
  7. Other Coexisting Disease
    1. Surgery and Patients with Liver Dysfunction
    2. Perioperative Steroid Recommendations
  8. Preoperative Teaching and Procedures
    1. Medication Recommendations Prior to Surgery
    2. Procedures for Preoperative Consultation
    3. DNR in the Operating Room
  9. Protocol for Virtua I Preop
  10. Protocol for Day of Surgery Cancellations