Jan-Feb 2014 Table of Contents

SPPACES: MEDICAL APP REVIEWS

Pre-op Eval



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A review of the medical app Pre-op Eval using the FPM “SPPACES” criteria.

Fam Pract Manag. 2014 Jan-Feb;21(1):27.

Author disclosure: no relevant financial affiliations disclosed.

The Pre-Op Eval app provides evidence-based guidelines for the preoperative evaluation of patients undergoing noncardiac surgery and perioperative medication management.

Source: Wilson Family Medicine Residency and Binghamton University, New York

Platforms available: iOS only

Pertinence to primary care practice: Preoperative consultations are the “bread and butter” of most primary care practices. This app guides clinicians through the American College of Cardiology's stepwise algorithm for the cardiac evaluation, which takes into account surgery risk level and urgency, presence or absence of active cardiac conditions, functional capacity, and other clinical risk factors. It also provides helpful resources on the use of common perioperative medications; the timing of noncardiac surgery after a myocardial infarction or revascularization; and indications for preoperative electrocardiography, chest radiography, and blood

About the Author

Dr. Lin, a member of the Family Practice Management Editorial Advisory Board and associate deputy editor for American Family Physician online, is director of the Robert L. Phillips Jr. Health Policy Fellowship at Georgetown University School of Medicine, an associate at Johns Hopkins University Bloomberg School of Public Health, and a family physician at MedStar Health in Washington, D.C.


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