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Practice Pearls for Perioperative Medicine

In this Expert Practice Series, Dr. Brotman, Associate Professor of Medicine and Director of the Hospitalist Program at Johns Hopkins Hospital, and Dr. Feldman, Assistant Professor and Director of the General Medicine Consult Service at Johns Hopkins, and their esteemed faculty will address the top 10 questions in perioperative medicine. Topics include managing sleep apnea in perioperative patients, bridging heparin perioperatively in patients with mechanical valves, and more.

Moderated By:
Daniel Brotman, MD, FACP
Assistant Professor, Director, Hospitalist Program, Johns Hopkins Hospital
Moderated By:
Leonard Feldman, MD
Assistant Professor, Director, General Medicine Consult Service, Johns Hopkins Hospitalist Service
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Latest Comments
"This was the last segment that I viewed in your series on practice pearls for perioperative medicine, I thoroughly enjoyed the program.  For some reason the narrative didn't post, so this is my second attempt to forward this feedback. 

Thank You!

Valerie"
Valerie Ting, APRN-BC
Nurse Practitioner, Comprehensive Health Center
314 Comments
"This was an excellent, well-organized succinct presentation regarding, What is involved in the practical management of insulin preoperatively?  Your lecture was greatly enhanced by your experience as a Physician and as a Program Director in the Internal Medicine Residency Program @ Banner Good Samaritan Medical Center.  Your research in glycemic control and publications on glycemic control, as well as, your role as a Professor of Clinical Medicine @ the University of Arizona College of Medicine and  Internal Medicine/Pediatrics Program @ Banner Good Samaritan/Phoenix Veterans Administration made you the perfect physician for this segment of this lecture series. 

You thoroughly reviewed oral agents preoperatively, the physiologic insulin secretion, the pharmacokinetic profiles of insulin types and insulin adjustments for the preoperative diabetic patient.  Adjustments are necessary perioperatively for peak action and post-operatively healing considerations.  You presented a vital outline of various diabetes treatment adjustments and requirements in the perioperative setting.  Crucial considerations involving the diabetic patient encountering surgery were comprehensively reviewed.  Individualization of treatment plans to equip patients with the necessary skills to master the fundamental principles toward achieving moderate glycemic control, minimize the risks of hypoglycemia with an improved control in achieving aggressive targets are vital. 

Your lecture provided a wealth of research pertaining to perioperative management of insulin in your series regarding the practice pearls for perioperative medicine.  Again, another excellent overview with wonderful up-to-date useful information concerning the MGT of insulin in the perioperative pt.  Thank your again for an enlightening series. 

Thanks,

Valerie Ting"
Valerie Ting, APRN-BC
Nurse Practitioner, Comprehensive Health Center
256 Comments
 
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