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…
Jehovah’s Witnesses and Transfusion: Ethical Issues Rose Christopherson MD, PhD The issues surrounding transfusion of Jehovah’s Witnesses should be examined in the broader context of medical ethics. Two aspects of…
Transfusion of Packed Red Blood Cells Requires a Careful Risk-Benefit Analysis Heather A. Abernethy MD Michael P. Hutchens MD, MA Transfusing allogenic red blood cells is an intervention that has…
Know What Screening Tests are Performed on Volunteer Donor Blood Andrew M. Gross MD Donated blood is subjected to a rigorous series of tests before it is deemed safe for…
Learn from the Care of the Combat Victim: Ask the Surgeons to Consider Damage Control Surgery for the Bleeding Patient Surjya Sen MD Damage control surgery is defined as operative…
