Consult Service Curriculum
Role of the Consultant
- The role of the medical consultant
- Ten commandments for effective consultations
- Principles of effective consultation
Preoperative Cardiac Workup
- Pre-Operative Risk Assessment and Risk Reduction Before Surgery
- ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery
- A simple index predicted cardiac complications in elective major noncardiac surgery
- Perioperative cardiovascular mortality in noncardiac surgery: Validation of the Lee cardiac risk index
- Predictors of cardiac events after major vascular surgery
- Prophylactic coronary artery revascularization before elective vascular surgery did not improve long-term survival
- No cardiac testing for intermediate risk patients on beta-blockers was noninferior to testing before major vascular surgery for preventing death and nonfatal MI
- A clinical randomized trial to evaluate the safety of a noninvasive approach in high-risk patients undergoing major vascular surgery: The DECREASE-V pilot study
General Preoperative Testing
- Preoperative tests: the use of routine preoperative tests for elective surgery: Evidence, methods, and guidance
Use of Beta Blockers in the Perioperative Setting
- Effects of extended-release metoprolol succinate in patientsundergoing non-cardiac surgery (POISE trial): a randomised controlled trial
- Perioperative beta-blocker therapy and mortality after major noncardiac surgery
- Effect of atenolol on mortality and cardiovascular morbidity after noncardiac surgery
- Perioperative beta blockade (POBBLE) for patients undergoing infrarenal vascular surgery: Results of a randomized double-blind controlled trial
- ACC/AHA 2006 Guideline Update on Perioperative Cardiovascular Evaluation for Noncardiac Surgery: Focused Update on Perioperative Beta-Blocker Therapy
- Effect of perioperative beta blockade in patients with diabetes undergoing major non-cardiac surgery
- The effects of perioperative beta-blockade: Results of the Metoprolol after Vascular Surgery (MaVS) study
Prevention of Venous Thromboembolism
- Prevention of venous thromboembolism: American College of Chest Physicians evidence-based clinical practice guidelines (8th edition)
Perioperative Anticoagulation Guidelines
- Perioperative management of antithrombotic therapy: American College of Chest Physicians evidence-based clinical practice guidelines (8th edition)
Perioperative Hypertension Care
- Perioperative evaluation of the patient with hypertension
- Hypertension, hypertensive heart disease, and perioperative cardiac risk
Perioperative Pulmonary Care
- Risk Assessment for and Strategies To Reduce Perioperative Pulmonary Complications for Patients Undergoing Noncardiothoracic Surgery: A Guideline from the American College of Physicians
- Development and Validation of a Multifactorial Risk Index for Predicting Postoperative Pneumonia after Major Noncardiac Surgery
- Multifactorial Risk Index for Predicting Postoperative Respiratory Failure in Men After Major Noncardiac Surgery
Other Potential Perioperative Treatments
- Lipid-lowering therapy and in-hospital mortality following major noncardiac surgery
- Perioperative use of atorvastatin reduced cardiovascular events in patients having vascular surgery
Prevention of Surgical Wound Infection
- Preoperative bathing or showering with skin antiseptics to prevent surgical site infection
- Prevention of Nosocomial Infection in Cardiac Surgery by Decontamination of the Nasopharynx and Oropharynx With Chlorhexidine Gluconate
- Supplemental perioperative oxygen and the risk of surgical wound infection
Atrial Fibrillation Prophylaxis in Cardiac Surgery Patients
- Amiodarone prophylaxis reduces major cardiovascular morbidity and length of stay after cardiac surgery: A meta-analysis
Inpatient Diabetes Care
- Management of diabetes and hyperglycemia in hospitals
- Effect of Perioperative Insulin Infusion on Surgical Morbidity and Mortality: Systematic Review and Meta-analysis of Randomized Trials
Anorexia Nervosa/Refeeding Syndrome
- Anorexia Nervosa
- Medical Complications in Adolescents with Anorexia Nervosa: A Review of the Literature
- The Importance of the Refeeding Syndrome
Herbal Medications
- Herbal medications and perioperative care
Sepsis Care
- Surviving sepsis campaign guidelines for management of severe sepsis and septic shock
