peri-operative

The now published results of the POISE trial raises the question that the rush to make peri-operative beta blockers a quasi-mandatory quality measure may have lead to a number of deaths from stroke .

Peri-operative beta blockers-quality measure or risk factor for stroke and death james gaulte 2008

POISE was a large 8000 plus subjects randomized trial designed to determine the effect of the peri-operative use of Metoprolol-XL. 100 mg was given 2-4 hours preop and again 0-6 hours post op and then 200mg daily for thirty days.

Peri-operative beta blockers-quality measure or risk factor for stroke and death james gaulte 2008

The now published results of the POISE trial raises the question that the rush to make peri-operative beta blockers a quasi-mandatory quality measure may have lead to a number of deaths from stroke .

Archive 2008-05-01 james gaulte 2008

POISE was a large 8000 plus subjects randomized trial designed to determine the effect of the peri-operative use of Metoprolol-XL. 100 mg was given 2-4 hours preop and again 0-6 hours post op and then 200mg daily for thirty days.

Archive 2008-05-01 james gaulte 2008

Wachter enlisted the comments of his colleague, Dr. Andrew Auerbach who, in regard to the study that demonstrated increased risk of stroke from peri-operative use of beta-blockers said in part

I was not the only one taken back by comments on the beta-blocker peri-operative mortality morbidity issue james gaulte 2007

When such things as the four hour rule and give almost everyone peri-operative beta-blockers become institutionalized as quality indicators it is not difficult to imagine the position a physician find herself if she dare object or worse refuse to play by those rules.

Archive 2007-11-01 james gaulte 2007

I have mentioned before the danger of the "four-hour"pneumonia rule and the ill advised rush to quality rules about peri-operative beta blocker use and those likely only touch on the tippy top of the iceberg.

More on "quality movement can be hazardous to your health" james gaulte 2007

I was not the only one taken back by comments on the beta-blocker peri-operative mortality morbidity issue

Archive 2007-11-01 james gaulte 2007

When such things as the four hour rule and give almost everyone peri-operative beta-blockers become institutionalized as quality indicators it is not difficult to imagine the position a physician find herself if she dare object or worse refuse to play by those rules.

More on "quality movement can be hazardous to your health" james gaulte 2007

I was not the only one taken back by comments on the beta-blocker peri-operative mortality morbidity issue

I was not the only one taken back by comments on the beta-blocker peri-operative mortality morbidity issue james gaulte 2007