The Curbsiders Internal Medicine Podcast #475 Perioperative Update with Dr. Avital O’Glasser
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Mar 17, 2025 In this episode, Dr. Avital O’Glasser, a hospitalist and expert in perioperative medicine at Oregon Health and Science University, shares cutting-edge insights into the latest 2024 ACC/AHA guidelines. She discusses when to hold ACE inhibitors, the complexities of managing obstructive sleep apnea before surgery, and why the traditional 'NPO after midnight' rule is outdated. Listeners will appreciate her take on personalized patient care, balancing cardiac risks, and the importance of effective communication in surgical environments.
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Preoperative Assessment
- Quantify and qualify patients' comorbidities during pre-op assessments.
- Empower patients to actively participate in their perioperative care.
Communicating with Surgeons
- Discuss testing requests with surgeons, explaining evidence-based guidelines.
- Ask clarifying questions to understand surgeons' concerns if there's pushback.
Challenging Inertia
- Address unnecessary pre-op tests as institutional inertia, not surgeon preference.
- Present data and evidence to support high-value testing practices.