The Curbsiders Internal Medicine Podcast #174 Dominate Perioperative Medication Management
Sep 23, 2019
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Importance of Early Med Reconciliation
- Perform detailed medication reconciliation early during preoperative evaluation.
- Use med rec to identify missing diagnoses and guide testing or management plans.
Avoid Marijuana Pre-Surgery
- Advise patients to avoid marijuana use 24 hours before surgery due to unknown perioperative risks.
- Topical CBD may be safer but should be minimized the night before surgery.
Bridging Is Dead For Most
- Bridging anticoagulation is generally not needed and increases bleeding risk.
- Hold warfarin 5 days before surgery without bridging unless very high embolic risk.