from Joshua Steinberg MD
Preop Eval organizes and presents much of the guidance that one needs in order to evaluate and prepare adult patients for non-cardiac surgery. It is based upon the guidelines on this topic from the American College of Cardiology, the European Society of Anaesthesiology, the American Society of Anesthesiologists, the Institute for Clinical Systems Improvement, the American College of Chest Physicians, and more (full references in the app). The app contains 1 algorithm and 3 resources: the cardiac evaluation algorithm, guidance on starting and stopping key medications in the perioperative period, guidance on timing of surgery after cardiac events, and guidance on preoperative testing. It also contains a review of preoperative evaluation mainly for students and residents.
The app addresses such common questions as:
- who needs bloodwork before surgery?
- who needs an EKG or a CXR?
- how do I handle patients on warfarin, clopidogrel, and DOAC's?
- which patients need adjustment of perioperative insulin and diabetic meds, and how?
- which active cardiac conditions preclude surgery?
- how long after MI or stent should a patient wait before surgery?
- are there adjustments to make on psych meds, rheumatologic meds, ACE's and ARB's?
This app is written and intended for practicing physicians like internists, family physicians, and hospitalists; for resident physician trainees; and for medical students. In addition to being a reference, the algorithm is written to be a teaching tool by not just delivering an answer, but instead walking a physician through the evaluation process so that one learns that process along the way. As an educator and clinician, I am interested in feedback and I would be grateful for guidance on improving the tool.
Once the update for the new version of iOS is available it will be great again! Unfortunately it doesn't work with the latest software. Please update ASAP
Still not working with new iOS
NorazAppleEye
even after upgrade today ... please fix ... 5 stars when working
Outstanding
CBJBSBMD
Outstanding! Great resource to use at the bedside. Highly recommend.
Unfortunately it doesn't work with latest iOS 8.02
ob1canob
Please fix!
- updated guidance on perioperative buprenorphine
- perioperative fasting (food and drink)
- perioperative GI meds as related to avoiding aspiration
- ASA physical status classes and recommendations from ASA on preop testing for class I & II undergoing low risk surgery
- preop urinalysis clarification based upon IDSA guideline
Version 4.4
The developer, United Health Services, Inc., indicated that the app’s privacy practices may include handling of data as described below. For more information, see the developer’s privacy policy .
Data Not Collected
The developer does not collect any data from this app.
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Accessibility
The developer has not yet indicated which accessibility features this app supports. Learn More
Information
Seller
United Health Services, Inc.
Size
15.2 MB
Category
Medical
Compatibility
Requires iOS 13.0 or later.
iPhone Requires iOS 13.0 or later.
iPod touch Requires iOS 13.0 or later.
Mac Requires macOS 11.0 or later and a Mac with Apple M1 chip or later.
