Internal Medicine

Risk assessment:

• use ASA class, RCRI, NSQIP, Duke Activity Status Index, STOP-BANG

• Consider getting NT pro-BNP or BNP

Pay attention to:

• Meds like antiplatelets, anticoagulants, BP meds - including BB, diabetes meds - including insulin and SGLT2i, corticosteroids, immunosuppressants

• Covers special considerations for CV disease, pulmonary disease, diabetes, CKD, liver disease, rheumatologic disease (including RA), pregnant women, and older adults.

Practice Improvement Guidelines from Preoperative Evaluation for Noncardiac Surgery (Annals 2022)