2014 ACC/AHA Noncardiac surgery guideline

[turnupthevapor]

Question: As far as the guideline goes, does a low risk surgery i.e. cataracts, automatically make you have a low risk of MACE (even if your RCRI score >2) thank you!!!!


"The lowest-risk operations are generally those without significant fluid shifts and stress. Plastic sur- gery and cataract surgery are associated with a very low risk of MACE (34) "

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[leaverus]

the nature of the surgery is part of rcri. cataract isn't high risk so it adds zero, but 2+ rcri would still confer higher risk of mace regardless what criteria contribute to that score or what specific surgery one is having.

 

[caligas]

the nature of the surgery is part of rcri. cataract isn't high risk so it adds zero, but 2+ rcri would still confer higher risk of mace regardless what criteria contribute to that score or what specific surgery one is having.

Yes, with new guidelines cardiac eval is recommended even in very low risk surgery such as cataract IF the patient cannot achieve 4 Mets and they have 2+ points on the RCRI. Personally I would not cancel a cataract for almost any reason.

 

[criticalelement]

IM so sick of these guidelines...

Judgement folks!!

Delay or cancel the case only if you are sending the patient to the ER because of the patient;s condition otherwise it is a GO!

DOne...

sent from

 

[deleted171991]

IM so sick of these guidelines...

Judgement folks!!

Delay or cancel the case only if you are sending the patient to the ER because of the patient;s condition otherwise it is a GO!

DOne...

sent from

Seriously?

 

[caligas]

Seriously?

 

[leaverus]

IM so sick of these guidelines...

Judgement folks!!

Delay or cancel the case only if you are sending the patient to the ER because of the patient;s condition otherwise it is a GO!

DOne...

wow, your surgeons must love you. i'm pretty easy going with the guidelines, but even that policy is too lax for me. everyone in your group is on board with that?

 

[criticalelement]

Seriously?

Without a doubt!!

Those guidelines can go into the washroom so i can wipe my ass with them..