TOTAL JOINTS REFERENCES

• Reference: Journal of Orthopaedic Surgery 2014;22(3):383-92
  Review Article: Perioperative care in enhanced recovery for total hip and knee arthroplasty
  Marinus DJ Stowers,1 Daniel P Lemanu,1 Brendan Coleman,2 Andrew G Hill,1 Jacob T Munro3

LABORATORY REFERENCES

Preoperative testing is frequently not evidence-based. Because the recommendations are usually driven by consensus based guidelines, ePREOP can not provide specific footnotes for many testing requirements. ePREOP bases the original algorithm on Fischer's guidelines as published in the original landmark study. Some modifications have been made based on certain client institution testing patterns to ensure cases proceed without delay.

ePREOP provides the testing requirement services in a SaaS model. This allows participating institutions to tailor the recommendations. ePREOP is working with recognized institutions to allow publishing of their guidelines to facilitate adherence to any consensus based guidelines. ePREOP's goal is to contribute in establishing these guidelines while driving research in the area of Preoperative Medicine. This will allow us to provide better preoperative care while eliminating waste.

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http://www.ncbi.nlm.nih.gov/pubmed/18156878
Anesthesiology. 2008 Jan;108(1):18-30.
Predictors of cognitive dysfunction after major noncardiac surgery.
Monk TG1, Weldon BC, Garvan CW, Dede DE, van der Aa MT, Heilman KM, Gravenstein JS

CARDIAC REFERENCES

When definitive cardiac consults are given, ePREOP has obtained this from the ACC/AHA guidelines. There are many other recommendations generated that are not as definitive and ePREOP provides a large list of resources that were considered in generating these recommendations. It is important to consider a consult is frequently dictated by the acute vs chronic nature of disease as well as a combination of past medical history and patient exercise tolerance.

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