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Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Episode 269: New Frontiers in Preop Assessment and Optimization with Dr. Jeanna Blitz
Nov 19, 2023
Dr. Jeanna Blitz, an expert in preoperative assessment and optimization of patients, discusses the use of biomarkers, alternatives to RCRI, and assessment of frailty, nutritional and psychological status. They also discuss the importance of preoperative optimization, biomarkers in perioperative risk assessment, assessing surgical risk with prediction models, considerations for different surgical scenarios, anemia in surgical patients, and recent rule changes in baseball.
01:15:04
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Quick takeaways
- Assessing a patient's functional capacity before surgery can help identify areas for improvement and interventions to enhance their readiness for surgery.
- Integrating risk prediction models and considering the level of surgical risk helps determine the overall risk profile of a patient preoperatively.
Deep dives
Preoperative Functional Capacity Assessment
Assessing a patient's functional capacity before surgery is crucial in determining the potential risks and optimizing outcomes. One key aspect is evaluating the patient's ability to perform daily activities, such as climbing stairs or walking. Tools like the Duke Activity Status Index (DASI) or the Met Repair can provide standardized and validated measures of functional capacity. Understanding a patient's functional limitations helps identify areas for improvement or interventions to enhance their readiness for surgery.
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