Medicine Consult Series: Ep. 1 - Postoperative Atrial Fibrillation

Behind The Knife: The Surgery Podcast

Education, Science, Health & Fitness, Medicine

4.8 • 1.4K Ratings

🗓️ 16 September 2024

⏱️ 29 minutes

🔗️ Recording | iTunes | RSS

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Summary

You're the new intern on your first night of night float. First page, right off the bat – AFib with rates into the 150s. What's your next move?! Dr. Nathan Anderson takes the anxiety out of approaching Atrial Fibrillation in the post-operative patient. Join him and Dr. Elizabeth Maginot as they discuss this very common post-operative you're guaranteed to see on the wards.

Hosts:
- Dr. Nathan Anderson, Internal Medicine Associate Professor and Hospitalist, University of Nebraska
- Dr. Elizabeth Maginot, General Surgery Resident and BTK Surgical Education Fellow, University of Nebraska Medical Center, Twitter: @e_magination95

Learning Objectives:
- Discuss the underlying pathophysiological mechanisms that contribute to the development of atrial fibrillation in the postoperative setting.
- Critically approach the different management options for atrial fibrillation in the post-cardiac and non-cardiac surgery settings, including rate versus rhythm control, indications for cardioversion, and the role of anticoagulation.
- Identify common risk factors for atrial fibrillation in the post-operative setting.
- Discuss long-term management and follow-up strategies for patients who develop atrial fibrillation after surgery.

References:
1. Bhave PD, Goldman LE, Vittinghoff E, Maselli J, Auerbach A. Incidence, predictors, and outcomes associated with postoperative atrial fibrillation after major noncardiac surgery. AmericanHeart Journal. 2012;164(6):918-924. doi:10.1016/j.ahj.2012.09.004
https://pubmed.ncbi.nlm.nih.gov/23194493/
2. Gialdini G, Nearing K, Bhave PD, et al.. Perioperative Atrial Fibrillation and the Long-term Risk ofIschemic Stroke. JAMA. 2014;312(6):616. doi:10.1001/jama.2014.9143
https://pubmed.ncbi.nlm.nih.gov/25117130/
3. Snow V, Weiss KB, LeFevre M, McNamara R, Bass E, Green LA, Michl K, Owens DK, Susman J, Allen DI, Mottur-Pilson C; AAFP Panel on Atrial Fibrillation; ACP Panel on Atrial Fibrillation.Management of newly detected atrial fibrillation: a clinical practice guideline from the AmericanAcademy of Family Physicians and the American College of Physicians. Ann Intern Med. 2003 Dec16;139(12):1009-17. doi: 10.7326/0003-4819-139-12-200312160-00011. PMID: 14678921.
https://pubmed.ncbi.nlm.nih.gov/14678921/
4. A Comparison of Rate Control and Rhythm Control in Patients with Atrial Fibrillation. NewEngland Journal of Medicine. 2002;347(23):1825-1833. doi:10.1056/nejmoa021328
https://pubmed.ncbi.nlm.nih.gov/12466506/

Learn more about our Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship course and preview a full chapter here: https://app.behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

DOMINATE THE DAY

Transcript

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0:00.0	Behind the surgery podcast, relevant and engaging content designed to help you dominate the day.
0:13.0	Thanks for listening to Behind the Night.
0:17.0	Today we want to introduce you to a new series covering common medical consults.
0:28.5	Think atrial flibrelation, acute kidney injury, and diabetes, all common but at times confounding medical issues that we see in our
0:36.7	surgery patients no matter what stage of your career you're in we think you will learn a lot
0:42.1	now before we dive in we want to put a plug in for our
0:44.8	latest project. It's called dominate surgery a high-yield guide to the surgery
0:48.6	clerkships and we're particularly proud of this one because it really is about
0:52.0	time the students have a modern engaging
0:54.4	resource to teach them the art and the science of surgery.
0:57.9	So this multimedia resource goes beyond rope memorization to focus on student performance. So how should students work up a
1:04.7	consult in the ED? How should they present on morning rounds, throw a two-handed tie, or
1:09.3	contribute to the trauma survey? So BTK has got them covered with to the point text,
1:14.3	original illustrations, tables, tons of brand new audio and top notch video and
1:19.4	it's all available on our app and all designed to help students dominate their rotation.
1:24.4	So check out our website or app for more. Now on to the show.
1:29.3	Hello, my name is Elizabeth Maginot. I'm one of the surgical education fellows at Behind the Knife and general
1:34.0	surgery resident at the University of Nebraska.
1:36.1	Today I'm joined by Dr. Nathan Anderson, associate professor in the Division of General Internal
1:40.8	Medicine and Hospice at the University of Nebraska and Omaha.
1:44.0	Today we're going to be discussing a true of the relation in the post-operative
1:48.0	setting as part of our Medisurge consult series. Thank you for joining us Dr. Anderson.
	...

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