• If a patient is on chronic beta blocker therapy and didn’t take the medication on the morning of surgery, we administer a beta blocker in the pre-operative suite.
• With beta blockade in cardiac and vascular surgery, men had significant reductions in myocardial infarction and acute renal failure.
• Women did not have a reduction in any negative outcome. Actually women had a statistically significant worse outcome, especially in congestive heart failure. Beta blocking appears to benefit men and not women.
• In pre-operative suites, we need to document on the chart that a patient on beta blockade has taken their medication within 24 hours of their surgery.
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