This session will consist of three presentations. In the first presentation: "The Hypertensive Patient at a Free Standing Ambulatory Surgery Center," Dr. Christofer Canlas will focus on the hypertensive patient’s preoperative, intraoperative, and postoperative considerations at an ASC. He will discuss how hypertensive patients presenting for surgery at a free standing ambulatory surgery center pose different challenges than at the main hospital and the considerations that can help determine when the patient’s co-morbidities including hypertension (HTN) may require rescheduling to a different location. Subsequently, in "How Low is Too Low?" Dr. Alvaro Andres Macias will discuss the implications of hypotension in the perioperative period. After an overview of the risks associated with hypotension, this discussion will focus on the best practices related to blood pressure measurement including 1) recommendations on blood pressure measurement, 2) the parameters that should be used to determine whether treatment is necessary and 3) the factors that should inform the choice of treatment. Finally, in "New Onset A-fib on DOS-Cancel or Not?" Dr. Victor Davila will describe the implications of new onset atrial fibrillation at an ambulatory surgery center. This presentation will discuss the risks attributable to atrial fibrillation and how they can be evaluated by the surgical team to both 1) make informed recommendations to individual patents and 2) establish ASC policies that lead to better outcomes and patient satisfaction.
Discuss the preoperative management of anti-hypertensive medications prior to the day of surgery.
Describe the risks and benefits of proceeding with surgery in the patient with day of surgery hypertension.
Differentiate treatment of intraoperative hypotension in an ambulatory surgery center vs main operating room setting.
Define the thresholds for intraoperative hypotension
Discuss the implications of Perioperative hypotension and the resultant outcomes
Describe how and when Perioperative blood pressure should be measured as well as the future of intraoperative blood pressure measurements.
Discuss the Perioperative Risks associated with patients undergoing non-cardiac surgery when they have a known history of atrial fibrillation.
Categorize the different presentations and etiologies of atrial fibrillation, including postoperative atrial fibrillation (POAF)
Utilize the current data about asymptomatic atrial fibrillation for perioperative decision making in the ambulatory setting.