Table 2.
Perioperative Risk Optimization and Management Planning Tool (PROMPT™) qualitative survey results
| A. Preoperative Testing | |
| 1. Laboratory (11) | |
| 2. Cardiovascular (10) | |
| 3. Pulmonary function (2) | |
| B. Medications and Technologies | |
| 1. Beta-blockers | |
| 2. Calcium channel blockers | |
| 3. Diuretics | |
| 4. Angiotensin-converting enzyme inhibitors | |
| 5. Angiotensin receptor blockers | |
| 6. Anticoagulants (17) | |
| 7. Coronary artery stents (6) | |
| 8. Cardiac pacemakers (4) | |
| 9. Implantable cardioverter defibrillators | |
| 10. Insulin pumps | |
| 11. Intrathecal pumps | |
| 12. Other implantable devices (vagal nerve stimulators, deep brain stimulators) | |
| C. Optimization of Co-Morbid Diseases | |
| 1. Arterial hypertension (25) | |
| 2. Coronary artery disease (3) | |
| 3. Cardiomyopathy | |
| 4. Congestive heart failure (3) | |
| 5. Cardiac arrhythmias (5) | |
| 6. Diabetes mellitus (18) | |
| 7. Cerebrovascular disease (2) | |
| 8. Chronic obstructive pulmonary disease (2) | |
| 9. Obstructive sleep apnea (10) | |
| 10. Pulmonary hypertension | |
| 11. Renal insufficiency (6) | |
| 12. Cirrhosis and liver failure | |
| 13. Anemia (8) | |
| 14. Obesity (7) | |
| 15. Infection and sepsis (11) | |
| 16. Trauma (3) | |
| 17. Chronic pain/chronic opioid use (15) | |
| 18. Substance abuse (3) | |
| 19. Malignant hyperthermia | |
| 20. Reported penicillin allergy | |
| D. Perioperative Risk Reduction | |
| 1. Cognitive delirium (7) | |
| 2. Cognitive dysfunction (4) | |
| 3. Nausea and vomiting (21) | |
| 4. Deep venous thrombosis (8) | |
| 5. Cerebrovascular accident | |
| 6. Myocardial injury after non-cardiac surgery (“MINS”) | |
| 7. Acute kidney injury and renal failure (2) | |
| E. Provision of Comprehensive Care | |
| 1. Choice of anesthetic technique and agents (11) | |
| 2. Airway management (4) | |
| 3. Ventilation (12) | |
| 4. Glucose management (not just in diabetics) (9) | |
| 5. Nutrition (2) | |
| 6. Fluid and Electrolyte Management (16) | |
| 7. Patient-centered blood management (11) | |
| 8. Patient medication instruction and compliance (5) | |
| 9. Preoperative physical conditioning (“prehabilitation”) (2) | |
| 10. Smoking cessation (3) | |
| 11. Perioperative opioid sparring strategies (“multimodal analgesia”) (13) | |
| 12. Perioperative sedative sparring strategies | |
| 13. Preoperative antimicrobial prophylaxis and skin preparation | |
| 14. Intraoperative hypothermia prevention (maintaining normothermia) | |
| 15. Geriatric anesthetic and analgesic management (3) |
Note: Patient medical conditions or clinical issues identified by the survey participants were categorized in to five main sections (A through E above). Survey response counts are shows for each topic (if count > 1)