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Exam (elaborations)

EOR General Surgery Rotation - Pre Post-op.

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What rating system puts pts into risk categories based on cardiac disease? What factors does it include? – ANS Detsky's Modified Cardiac Risk Index - age >70 - MI - Unstable angina - Pulmonary edema - Aortic stenosis - Arrhythmia - Emergency operation - Poor general medical status Detsky's Modified Cardiac Risk Index – ANS **Look at pg 294 in Babcock** I = 0-15 pts (low) II = 15-30 pts (intermediate) III = 31+ pts (high) What rating system determines chance of cardiac complications in non-cardiac surgery? - ANS Lee's Revised Cardiac Risk Index Lee's Revised Cardiac Risk Index = - ANS Class I (very low) = 0 pts (0.4% complications) Class II (low) = 1 pt (0.9% complications) Class III (moderate) = 2 pts (6.6% complications) Class IV (high) = 3 pts (>11% complications)

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