preopconsult.bsky.social
@preopconsult.bsky.social
Nothing new. Another meta-analysis finding less hypotension when withholding ACEI/ARBs & no difference in other complications (but very uncertain)
Discontinuation of renin-angiotensin system inhibitors before non-cardiac surgery: a meta-analysis

pubmed.ncbi.nlm.nih.gov/40878832/
Discontinuation of renin-angiotensin system inhibitors before non-cardiac surgery: a meta-analysis - PubMed
These findings suggest that discontinuation of RAS inhibitors is likely to reduce peri-operative hypotension in patients undergoing non-cardiac, non-vascular surgery, but the evidence is very uncertai...
pubmed.ncbi.nlm.nih.gov
August 31, 2025 at 9:00 PM
Unfortunately a negative trial stopped prematurely. Once again, used a fixed dose started on AM of surgery- intraop HR only 3 beats lower than control. Would have liked to see a start 7d preop & dose titrated, even on DOS, to see a greater diff in HR between groups.
pubmed.ncbi.nlm.nih.gov/40884771/
Ivabradine in Patients Undergoing Noncardiac Surgery: a Randomized Controlled Trial - PubMed
Among patients undergoing noncardiac surgery, ivabradine did not reduce the occurrence of MINS.
pubmed.ncbi.nlm.nih.gov
August 31, 2025 at 7:44 PM
Join me on Wednesday to learn about the 2024 ACC periop guidelines and changes to the algorithm. And don’t forget to pick up a copy of my book Decision Making in Perioperative Medicine 2nd edition.

www.amazon.com/Decision-Mak...
April 21, 2025 at 2:28 PM
Reposted
What is your perioperative medicine curriculum for anesthesia residents? I'm a fan of using Decision Making in Perioperative Medicine as a textbook. @preopconsult.bsky.social
#ansky

www.amazon.com/Decision-Mak...
Decision Making in Perioperative Medicine: Clinical Pearls
Decision Making in Perioperative Medicine: Clinical Pearls: 9781260468106: Medicine & Health Science Books @ Amazon.com
www.amazon.com
December 19, 2024 at 8:43 PM
Looking forward to speaking in Vegas.
April 9, 2025 at 3:16 PM
The Consult Guys @HowardWeitz & @GenoMerli with the Godfather @preopconsult & the 2nd edition of his book Decision Making in Perioperative Medicine-Clinical Pearls at ACP in New Orleans @ACPIMPhysicians store.acponline.org/ebiz/products-…
April 5, 2025 at 2:11 AM
It’s out!

The 2nd edition of my book Decision Making in Perioperative Medicine - Clinical Pearls is now available!

Please repost and tell your colleagues.
April 1, 2025 at 3:18 PM