Society for Perioperative Assessment and Quality Improvement
Thanks to all who joined us at the 6th Annual Meeting!
It was another very educational experience for attendees as well as faculty.



SPAQI newsletters available in the members-only section!

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Highlights from the latest Newsletter:

Case Report by Paul Rein, DO

A 63yearold male was scheduled for a laparoscopic sigmoid colectomy. His PMH included Type 2 Diabetes, hypertension, distant history of alcohol abuse and a BMI of 39. His medications were an oral hypoglycemic agent, lisinopril, atenolol and zolpidem (ambien). Preoperative testing included Hb 13.9, fasting blood sugar 112, normal electrolytes and liver enzymes. The ECG was read as sinus bradycardia, rate 51, no acute changes and a possible intraventricular conduction defect. Chest xray was normal. In this particular facility the anesthesiologists review a preoperative evaluation form filled out by a RN following a preoperative telephone call. The anesthesiologist will either OK the patient or tell the RN the patient needs a preoperative consult. In this instance the reviewing anesthesiologist referred the patient for medical “clearance.” What do you think of the referral and the process in general?

 
 

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