patients with COPD and asthma are at an increased risk of bron-
chospasm.
• End-stage renal disease (This requires a detailed history and physi-
cal assessment, because many of these patients have comorbidities,
such as CAD, diabetes or congestive heart failure.)
• High risk of bleeding due to platelet dysfunction
• Obesity (A BMI of 35 or greater, when combined with other comor-
bidities, is associated with an increase in intraoperative respiratory
events, which could result in desaturation or bronchospasm.)
When to postpone surgery
Certain conditions may necessitate canceling or delaying surgery, or
moving it to a hospital. These include:
• OSA requiring
CPAP, when combined
with BMI above 40
• A positive preg-
nancy test (depending
on the type of sur-
gery)
• Poorly controlled
diabetes or fasting
blood sugar above 200
or below 60 that can't
be controlled on site.
And these condi-
tions or situations sug-
gest that no surgery
should be performed
unless absolutely nec-
N O V E M B E R 2 0 1 7 • O U T PA T I E N T S U R G E R Y. N E T • 2 9
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