Supporting NHS Patient Drug Safety
The right dose of the right drug at the right time.
Do I need Perioperative Steroids?
I was asked by one of my Consultant Geriatrician colleagues who is the the Liaison Physician for the elderly patients on the Orthopaedic Ward of my hospital to do a presentation on identifying patients who need Perioperative Steroids.
I analysed a recent paper on this subject entitled 'The Surgical Patient taking glucocorticoids' by Amir H.Hamrahian, Sanzian Roman and Stacey Milan, published in the on-line medical information resource UptoDate.
Below are links to a collection of clinical algorithms in the form of flow charts derived from this article.
UptoDate is a very useful resource for the management of medical condtions but many of the algorithms in its articles are poorly designed and contain errors. The topic of Perioperative Steroids is ideally suited to algorithms but the UptoDate article does not include any!
1. The algorithm for deciding if a patient needs perioperative steroids.( Click on the circle to load the algorithm )
2. The algorithm for identifying patients with uncertain adrenal function who may need a 9 am cortisol or a Short Synacthen ( ACTH ) Test.
3. The algorithm showing the various steroid regimens depending on the type of surgical procedure.
This Responsive Web Design ( RWD ) will run on all Platforms ( Operating Systems ) and work on PCs, tablets and smartphones, on all browsers.
Back to Home Page