Remember that the Unthinkable is Possible—Follow These Principles in the Evaluation and Treatment of Patients Suffering from Nerve Agent Poisoning Daniel J. Bochicchio MD, FCCP It’s rush hour on a…
Acknowledge the Complex Medical and Legal Issues Surrounding Off-Label Drug Use Angela M. Pennell MD Imagine this scene: Your healthy, 5-year-old patient has just emerged from anesthesia after a routine,…
Be Aware that Many Drugs Commonly Given in the Perioperative Period Have Significant P-Glycoprotein Transport Pump Activity Neil B. Sandson MD In today’s medical climate, the anesthesiologist must be prepared…
Remember that Administration of Angiotensin System Inhibitors within 10 Hours Before Surgery Is A Significant Independent Risk Factor for Hypotension in the Postinduction Period* Thomas B. O. Comfere MD Juraj…
Stop Metformin before Elective Surgery or Intravascular Contrast Dye Study to Decrease the Risk of Lactic Acidosis Serge Jabbour MD, FACP, FACE Michael J. Moritz MD Metformin is an insulin-sensitizing…
Consider Insulin Therapy to Correct Perioperative Hyperglycemia in both Diabetic and Nondiabetic Patients Heather A. Abernethy MD Serge Jabbour MD, FACP, FACE Outcome studies have shown evidence of an association…
Remember that Smoking Cessation and Re-Initiation are Important Variables in the Perioperative Period Neil B. Sandson MD Catherine Marcucci MD It has been estimated that at least one third (and…
Be Aware of the Drugs that Require Slow Intravenous Administration Maggie Jeffries MD Laurel E. Moore MD The speed at which intravenous (IV) medications can be administered is often overlooked…
Beware the Antibiotic Bowel Prep James C. Opton MD Catherine Marcucci MD Neil B. Sandson MD Bowel preparation for elective colorectal surgery typically consists of mechanical bowel prep, oral antibiotics,…
Beware of the Mechanical Bowel Prep James C. Opton MD Mechanical bowel preparation (MBP) is commonly used for colonoscopy and elective colorectal surgery. Its goal is to rid the colon…
