Phenteramine ..again

[interscalene]

Do you guys postpone or cancel cases if patient is on phentermine?? I recently had a total
knee replacement tell me she started taking it 2 weeks prior to
surgery, I have done short case where young people have been on phentermine and had hypotension that was prolonged so i have been hesistant to do a case where phentermine has been on board. I asked my seniors before hand before cancelling the case and the seniors were split on the issue.

 

[Mman]

yes, come back another day

 

[Ronin786]

I would not. Give some vaso or epi if they get hypotensive.

 

[vector2]

On an elective basis I would certainly delay, but of note, having done a bunch of urgent GAs for abscesses in meth takers, the hemodynamic derangement has always been pretty minimal.

 

[d9sccr]

On an elective basis I would certainly delay, but of note, having done a bunch of urgent GAs for abscesses in meth takers, the hemodynamic derangement has always been pretty minimal.

Pretty much been my experience as well.