TTaabbllee 110011 .. 55 RRiisskk bbyy mmaaggnniittuuddee ooff ssuurrggeerryy**
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- Emergent major operations
- Aortic and other vascular surgery
- Anticipated prolonged surgery associated with large fluid shifts
IInntteerrmmeeddiiaattee
- Carotid endarterectomy
- Head and neck
- Intraperitoneal and intrathoracic
- Orthopaedic
- Prostate
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- Endoscopic procedures
- Superficial procedures
- Breast
*Modified from ACC/AHA guidelines for perioperative cardiovascular
evaluation for noncardiac surgery. Circulation1996; 9933 : 1280–317.
RReeffeerreenncceess
1 Mangano DT, Browner WS, Hollenberg M et al. Association of peri-
operative myocardial ischemia with cardiac morbidity and mortality in
men undergoing noncardiac surgery. The Study of Perioperative
Ischemia Research Group. N Engl J Med1990; 332233 : 1781–8.
2 Mangano DT, Golman L. Preoperative assessment of patients with known
or suspected coronary artery disease. N Engl J Med1995; 333333 : 1750–6.
3 Palda VA, Detsky AS. Perioperative assessment and management of
risk from coronary artery disease. Ann Intern Med1997; 112277 : 313–28.
4 ACC/AHA guidelines for perioperative cardiovascular evaluation for
noncardiac surgery. Circulation1996; 9933 : 1280–317.
5 L’Italien GJ, Paul DS, Hendel RC et al. Development and validation of
a Bayesian model for perioperative cardiac risk assessment in a cohort
of 1081 vascular surgical candidates. J Am Coll Cardiol 1996; 2277 : 779–86.