Implementation of a Cardiac Risk Reduction Protocol for General Surgery Patients Using Peri-Operative Beta Blockers

2.50
Hdl Handle:
http://hdl.handle.net/10755/153490
Type:
Presentation
Title:
Implementation of a Cardiac Risk Reduction Protocol for General Surgery Patients Using Peri-Operative Beta Blockers
Abstract:
Implementation of a Cardiac Risk Reduction Protocol for General Surgery Patients Using Peri-Operative Beta Blockers
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Gilmore, Janet, MSN, RN
P.I. Institution Name:The Methodist Hospital
Title:Director Perioperative Serives
Co-Authors:Sharon Young, BSN, MBA
Current studies suggest the use of peri-operative beta blockers can significantly reduce the incidence of cardiac complications in patients. We designed a peri-operative beta blocker protocol to assist clinicians in identifying patients who may benefit from beta blocker therapy. This protocol follows evidence-based medicine and was developed in collaboration with General Surgery, Cardiology, Anesthesia, Nursing and Pharmacy Departments. Patients with presumed coronary artery disease, peripheral vascular disease or significant risks factors, who undergo major non-cardiac, non-vascular surgery, should receive peri-operative beta blockers to maintain a heart rate between 60-80 beats per minute, preferably closer to 60. The primary goal is to improve patient outcomes by reducing the incidence of cardiac complications following major non-cardiac, non-vascular surgery. Patients meeting criteria as screened by nursing and anesthesia are placed on the protocol. Ideally, patients are identified during the pre-admission process and the primary care provider is contacted to start the beta blockers. Patients presenting the same day of surgery are screened; those meeting the criteria are started on the protocol at the time of admission. Analysis includes comparing heart rates before, during and after surgery; as well as, review for adverse events occurring intra operatively and within 30 days post operatively.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImplementation of a Cardiac Risk Reduction Protocol for General Surgery Patients Using Peri-Operative Beta Blockersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153490-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementation of a Cardiac Risk Reduction Protocol for General Surgery Patients Using Peri-Operative Beta Blockers</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Gilmore, Janet, MSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Methodist Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director Perioperative Serives</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jgilmore@tmh.tmc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sharon Young, BSN, MBA</td></tr><tr><td colspan="2" class="item-abstract">Current studies suggest the use of peri-operative beta blockers can significantly reduce the incidence of cardiac complications in patients. We designed a peri-operative beta blocker protocol to assist clinicians in identifying patients who may benefit from beta blocker therapy.&nbsp;This protocol follows evidence-based medicine and was developed in collaboration with General Surgery, Cardiology, Anesthesia, Nursing and Pharmacy Departments. Patients with presumed coronary artery disease, peripheral vascular disease or significant risks factors, who undergo major non-cardiac, non-vascular surgery, should receive peri-operative beta blockers&nbsp;to maintain a&nbsp;heart rate between 60-80 beats per minute, preferably closer to 60. The primary goal is to improve patient outcomes by reducing the incidence of cardiac complications following major non-cardiac, non-vascular surgery. Patients meeting&nbsp;criteria as screened by nursing and anesthesia are placed on the protocol. Ideally, patients are identified during the pre-admission process and the primary care provider is contacted to start the beta blockers. Patients presenting the same day of surgery are screened;&nbsp;those meeting the criteria are started on the protocol at the time of admission. Analysis includes comparing heart rates before, during and after surgery; as well as, review for adverse events occurring intra operatively and within 30 days post operatively.</td></tr></table>en_GB
dc.date.available2011-10-26T12:18:30Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:18:30Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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