Jeff Simmons
@jeffromd.bsky.social
Anesthesiologist, Perioperative Medicine, Healthcare Leadership, Air Force Veteran
Pinned
Jeff Simmons
@jeffromd.bsky.social
· Dec 13
Perioperative Optimization (shared collection)
Read papers from the shared collection Perioperative Optimization with Read by QxMD.
qxmd.com
A collection of perioperative medicine article #ANSKY
Recommended collection of articles: Perioperative Optimization qxmd.com/r/shared-col...
Recommended collection of articles: Perioperative Optimization qxmd.com/r/shared-col...
The use of perioperative cephalosporin prophylaxis in patients who have a pre-existing penicillin allergy - Surgery www.surgjournal.com/article/S003...
The use of perioperative cephalosporin prophylaxis in patients who have a pre-existing penicillin allergy
Studies have shown an association between a reported penicillin allergy and an increased
risk of surgical site infection. The risk is due to avoidance of cephalosporins and
to the use of alternative c...
www.surgjournal.com
April 5, 2025 at 1:43 AM
The use of perioperative cephalosporin prophylaxis in patients who have a pre-existing penicillin allergy - Surgery www.surgjournal.com/article/S003...
Using Preanesthesia Clinic Visits to Improve Advance Directives Completion: An Interrupted Time Series Analysis
pubmed.ncbi.nlm.nih.gov/37450641/
pubmed.ncbi.nlm.nih.gov/37450641/
Using Preanesthesia Clinic Visits to Improve Advance Directives Completion: An Interrupted Time Series Analysis - PubMed
Standardizing advance directives discussions during preanesthesia visits was associated with more patients completing advance directives, particularly in vulnerable patient groups.
pubmed.ncbi.nlm.nih.gov
March 22, 2025 at 2:44 AM
Using Preanesthesia Clinic Visits to Improve Advance Directives Completion: An Interrupted Time Series Analysis
pubmed.ncbi.nlm.nih.gov/37450641/
pubmed.ncbi.nlm.nih.gov/37450641/
13 variables: age, ASA class, HTN, previous stroke, valvular heart DZ, preop steroid hormones, preop β-blockers, preop MAP, preop fibrinogen-albumin ratio, preop fasting plasma glucose, emergency surgery, surgery type and surgery length independent risk factors
pubmed.ncbi.nlm.nih.gov/40117288/
pubmed.ncbi.nlm.nih.gov/40117288/
Risk factor analysis and creation of an externally-validated prediction model for perioperative stroke following non-cardiac surgery: A multi-center retrospective and modeling study - PubMed
In this work, we identified 13 independent risk factors for perioperative stroke and constructed an effective prediction model with well-supported external validation in Chinese patients undergoing non-cardiac surgery. The model may provide potential intervention targets and help to screen high-risk …
pubmed.ncbi.nlm.nih.gov
March 22, 2025 at 2:22 AM
13 variables: age, ASA class, HTN, previous stroke, valvular heart DZ, preop steroid hormones, preop β-blockers, preop MAP, preop fibrinogen-albumin ratio, preop fasting plasma glucose, emergency surgery, surgery type and surgery length independent risk factors
pubmed.ncbi.nlm.nih.gov/40117288/
pubmed.ncbi.nlm.nih.gov/40117288/
Perioperative Focused Transthoracic Echocardiogram Evaluations for Elderly Hip Fractures: A Narrative Review of Literature and Recommendations.
pubmed.ncbi.nlm.nih.gov/40099817/
pubmed.ncbi.nlm.nih.gov/40099817/
Perioperative Focused Transthoracic Echocardiogram Evaluations for Elderly Hip Fractures: A Narrative Review of Literature and Recommendations - PubMed
Multiple comorbidities and limited information at first contact with elderly hip-fracture patients have made it difficult to create safe perioperative plans. Various risk-stratification calculators, l...
pubmed.ncbi.nlm.nih.gov
March 20, 2025 at 11:12 PM
Perioperative Focused Transthoracic Echocardiogram Evaluations for Elderly Hip Fractures: A Narrative Review of Literature and Recommendations.
pubmed.ncbi.nlm.nih.gov/40099817/
pubmed.ncbi.nlm.nih.gov/40099817/
Association between the Duke Activity Status Index and complications after noncardiac surgery: A systematic review
pubmed.ncbi.nlm.nih.gov/40101523/
pubmed.ncbi.nlm.nih.gov/40101523/
Association between the Duke Activity Status Index and complications after noncardiac surgery: A systematic review - PubMed
This systematic review was registered with PROSPERO on March 4th, 2024 (CRD42024331864). No funding was obtained for this review.
pubmed.ncbi.nlm.nih.gov
March 20, 2025 at 11:09 PM
Association between the Duke Activity Status Index and complications after noncardiac surgery: A systematic review
pubmed.ncbi.nlm.nih.gov/40101523/
pubmed.ncbi.nlm.nih.gov/40101523/
T=kN
• N: The need to use the bathroom (e.g., a scale of urgency)
• T: Tightness of the scrub pants knot (e.g., measured on a subjective or objective scale)
• k: The proportionality constant that represents how tightly tied scrub pants directly affect bathroom urgency.
@AnSky @MedSky
January 17, 2025 at 12:05 AM
T=kN
• N: The need to use the bathroom (e.g., a scale of urgency)
• T: Tightness of the scrub pants knot (e.g., measured on a subjective or objective scale)
• k: The proportionality constant that represents how tightly tied scrub pants directly affect bathroom urgency.
@AnSky @MedSky
Managing preoperative anemia: EPO is needed.
www.bloodtransfusion.it/bt/article/v....
www.bloodtransfusion.it/bt/article/v....
Managing preoperative anemia: EPO is needed | Blood Transfusion
www.bloodtransfusion.it
January 15, 2025 at 5:53 PM
Managing preoperative anemia: EPO is needed.
www.bloodtransfusion.it/bt/article/v....
www.bloodtransfusion.it/bt/article/v....
Safe or Skip? Association Between Intraoperative Midazolam... : Anesthesiology journals.lww.com/anesthesiolo...
Safe or Skip? Association Between Intraoperative Midazolam... : Anesthesiology
An abstract is unavailable.
journals.lww.com
January 15, 2025 at 5:38 PM
Safe or Skip? Association Between Intraoperative Midazolam... : Anesthesiology journals.lww.com/anesthesiolo...
This is a scary finding.
1 in 9 patients over age 60 will have covert stroke after major non-card surgery.
Covert perioperative strokes in older patients having non-cardiac surgery (PRECISION): a prospective cohort analysis.
pubmed.ncbi.nlm.nih.gov/39723887/
1 in 9 patients over age 60 will have covert stroke after major non-card surgery.
Covert perioperative strokes in older patients having non-cardiac surgery (PRECISION): a prospective cohort analysis.
pubmed.ncbi.nlm.nih.gov/39723887/
Covert perioperative strokes in older patients having non-cardiac surgery (PRECISION): a prospective cohort analysis - PubMed
One in 9 patients aged 60 years and older who had major non-cardiac surgery, mainly intracranial, experienced a perioperative covert stroke. Covert strokes more than doubled the risk of postoperative ...
pubmed.ncbi.nlm.nih.gov
January 2, 2025 at 6:20 PM
This is a scary finding.
1 in 9 patients over age 60 will have covert stroke after major non-card surgery.
Covert perioperative strokes in older patients having non-cardiac surgery (PRECISION): a prospective cohort analysis.
pubmed.ncbi.nlm.nih.gov/39723887/
1 in 9 patients over age 60 will have covert stroke after major non-card surgery.
Covert perioperative strokes in older patients having non-cardiac surgery (PRECISION): a prospective cohort analysis.
pubmed.ncbi.nlm.nih.gov/39723887/
For #AnSky #anesthesiologist
What is the biggest difference between community and academic anesthesia/surgery/perioperative medicine?
I find it to be the resources invested in collecting and analyzing preoperative information (in favor of academics).
Thoughts?
What is the biggest difference between community and academic anesthesia/surgery/perioperative medicine?
I find it to be the resources invested in collecting and analyzing preoperative information (in favor of academics).
Thoughts?
January 2, 2025 at 6:17 PM
For #AnSky #anesthesiologist
What is the biggest difference between community and academic anesthesia/surgery/perioperative medicine?
I find it to be the resources invested in collecting and analyzing preoperative information (in favor of academics).
Thoughts?
What is the biggest difference between community and academic anesthesia/surgery/perioperative medicine?
I find it to be the resources invested in collecting and analyzing preoperative information (in favor of academics).
Thoughts?
Do #Anesthesiologist have a stereotype? "Sudoku playing, in-and-out, case canceling, non-doctors"...should I go on?
We are:
Emergency experts
Perioperative specialists
Patient safety advocates
Hospital leaders
Our scope is enormous.
Why does it feel that we fight for respect?
#AnSky #MedSky
We are:
Emergency experts
Perioperative specialists
Patient safety advocates
Hospital leaders
Our scope is enormous.
Why does it feel that we fight for respect?
#AnSky #MedSky
December 27, 2024 at 8:42 PM
Do #Anesthesiologist have a stereotype? "Sudoku playing, in-and-out, case canceling, non-doctors"...should I go on?
We are:
Emergency experts
Perioperative specialists
Patient safety advocates
Hospital leaders
Our scope is enormous.
Why does it feel that we fight for respect?
#AnSky #MedSky
We are:
Emergency experts
Perioperative specialists
Patient safety advocates
Hospital leaders
Our scope is enormous.
Why does it feel that we fight for respect?
#AnSky #MedSky
#UAB PACT uses Clinical Frailty Scale, Six Item Screen, Nestle Mini Nutrition Assessment, and Activity Daily Living (Katz) to characterize degree of #frailty.
#AnSky #MedSky
pubmed.ncbi.nlm.nih.gov/39708560/
#AnSky #MedSky
pubmed.ncbi.nlm.nih.gov/39708560/
Frailty as an independent risk factor for prolonged postoperative length of stay: A retrospective analysis of 2015-2019 ACS NSQIP data - PubMed
Frailty is an independent risk factor for prolonged postoperative LOS among older surgical patients, even after adjustment for patient and procedure covariates. Other independent risk factors for incr...
pubmed.ncbi.nlm.nih.gov
December 26, 2024 at 9:54 PM
#UAB PACT uses Clinical Frailty Scale, Six Item Screen, Nestle Mini Nutrition Assessment, and Activity Daily Living (Katz) to characterize degree of #frailty.
#AnSky #MedSky
pubmed.ncbi.nlm.nih.gov/39708560/
#AnSky #MedSky
pubmed.ncbi.nlm.nih.gov/39708560/
I needed a quick chart for my #PREOPCLINIC on chemotherapy agents and their effects on #preoperative labs and organs.
#ChatGPT to the 🛟
#MedSky #AnSky
How do you think it did?
#ChatGPT to the 🛟
#MedSky #AnSky
How do you think it did?
December 22, 2024 at 2:36 PM
I needed a quick chart for my #PREOPCLINIC on chemotherapy agents and their effects on #preoperative labs and organs.
#ChatGPT to the 🛟
#MedSky #AnSky
How do you think it did?
#ChatGPT to the 🛟
#MedSky #AnSky
How do you think it did?
IMO: These guidelines are difficult to operationalize.
- Too many variables to control
- Gastric US not widely practiced
- High probability for delays/cancellations
#AnSky #MedSky
Preprocedure Care of Patients on Glucagon-like Peptide-1... : Anesthesiology journals.lww.com/anesthesiolo...
- Too many variables to control
- Gastric US not widely practiced
- High probability for delays/cancellations
#AnSky #MedSky
Preprocedure Care of Patients on Glucagon-like Peptide-1... : Anesthesiology journals.lww.com/anesthesiolo...
Preprocedure Care of Patients on Glucagon-like Peptide-1... : Anesthesiology
An abstract is unavailable.
journals.lww.com
December 21, 2024 at 10:15 PM
IMO: These guidelines are difficult to operationalize.
- Too many variables to control
- Gastric US not widely practiced
- High probability for delays/cancellations
#AnSky #MedSky
Preprocedure Care of Patients on Glucagon-like Peptide-1... : Anesthesiology journals.lww.com/anesthesiolo...
- Too many variables to control
- Gastric US not widely practiced
- High probability for delays/cancellations
#AnSky #MedSky
Preprocedure Care of Patients on Glucagon-like Peptide-1... : Anesthesiology journals.lww.com/anesthesiolo...
Unpopular opinion 🫥
#Anesthesia journals give too much focus to regional anesthesia. 💉
Preoperative medicine and optimizing patients globally should be our focus. ⚕️
Why do we allow people to have surgery when they're not ready?
- Physically
- Emotionally
- Spiritually
- Socially
#AnSky #MedSky
#Anesthesia journals give too much focus to regional anesthesia. 💉
Preoperative medicine and optimizing patients globally should be our focus. ⚕️
Why do we allow people to have surgery when they're not ready?
- Physically
- Emotionally
- Spiritually
- Socially
#AnSky #MedSky
December 21, 2024 at 10:07 PM
Unpopular opinion 🫥
#Anesthesia journals give too much focus to regional anesthesia. 💉
Preoperative medicine and optimizing patients globally should be our focus. ⚕️
Why do we allow people to have surgery when they're not ready?
- Physically
- Emotionally
- Spiritually
- Socially
#AnSky #MedSky
#Anesthesia journals give too much focus to regional anesthesia. 💉
Preoperative medicine and optimizing patients globally should be our focus. ⚕️
Why do we allow people to have surgery when they're not ready?
- Physically
- Emotionally
- Spiritually
- Socially
#AnSky #MedSky
When teaching #anesthesia residents, what's your best advice?
Scan the dashboard. Circulating, ventilating, and oxygenating?
If not, stop what you're doing. If yes, do the next thing.
Don't get task saturated. Control the room. Control the variables you can control. #ansky
Yours?
Scan the dashboard. Circulating, ventilating, and oxygenating?
If not, stop what you're doing. If yes, do the next thing.
Don't get task saturated. Control the room. Control the variables you can control. #ansky
Yours?
a sign that says teachers are amazing in front of a group of cartoon characters
ALT: a sign that says teachers are amazing in front of a group of cartoon characters
media.tenor.com
December 21, 2024 at 9:56 PM
When teaching #anesthesia residents, what's your best advice?
Scan the dashboard. Circulating, ventilating, and oxygenating?
If not, stop what you're doing. If yes, do the next thing.
Don't get task saturated. Control the room. Control the variables you can control. #ansky
Yours?
Scan the dashboard. Circulating, ventilating, and oxygenating?
If not, stop what you're doing. If yes, do the next thing.
Don't get task saturated. Control the room. Control the variables you can control. #ansky
Yours?
If you're looking for a really good anesthesia related podcast that discusses the future of our specialty:
#ansky
open.spotify.com/show/3yNc6Ii...
#ansky
open.spotify.com/show/3yNc6Ii...
Fresh Flow Podcast
Podcast · UAB · The Fresh Flow podcast is a collaboration between UAB Medicine and the Association of Anesthesia Clinical Directors (AACD). Podcast guests and discussions are aligned with the AACD’s s...
open.spotify.com
December 19, 2024 at 8:45 PM
If you're looking for a really good anesthesia related podcast that discusses the future of our specialty:
#ansky
open.spotify.com/show/3yNc6Ii...
#ansky
open.spotify.com/show/3yNc6Ii...
What is your perioperative medicine curriculum for anesthesia residents? I'm a fan of using Decision Making in Perioperative Medicine as a textbook. @preopconsult.bsky.social
#ansky
www.amazon.com/Decision-Mak...
#ansky
www.amazon.com/Decision-Mak...
Decision Making in Perioperative Medicine: Clinical Pearls
Decision Making in Perioperative Medicine: Clinical Pearls: 9781260468106: Medicine & Health Science Books @ Amazon.com
www.amazon.com
December 19, 2024 at 8:43 PM
What is your perioperative medicine curriculum for anesthesia residents? I'm a fan of using Decision Making in Perioperative Medicine as a textbook. @preopconsult.bsky.social
#ansky
www.amazon.com/Decision-Mak...
#ansky
www.amazon.com/Decision-Mak...
For clarification: preop cardiology consultation is not asking for clearance and is not requesting an H&P.
We are asking for recent cardiac testing (Cath, ECHO, EKG), cardiac biomarkers, assessment of their ischemic risk, and evaluation of their valves and ventricular function. #ansky #cardiosky
We are asking for recent cardiac testing (Cath, ECHO, EKG), cardiac biomarkers, assessment of their ischemic risk, and evaluation of their valves and ventricular function. #ansky #cardiosky
December 19, 2024 at 8:31 PM
For clarification: preop cardiology consultation is not asking for clearance and is not requesting an H&P.
We are asking for recent cardiac testing (Cath, ECHO, EKG), cardiac biomarkers, assessment of their ischemic risk, and evaluation of their valves and ventricular function. #ansky #cardiosky
We are asking for recent cardiac testing (Cath, ECHO, EKG), cardiac biomarkers, assessment of their ischemic risk, and evaluation of their valves and ventricular function. #ansky #cardiosky
Reposted by Jeff Simmons
Infographic in #Anesthesiology - PONV: Genetics Takes a Back Seat to the Usual Suspects 🎨 ow.ly/LNvh50UoFr7
December 16, 2024 at 6:27 PM
Infographic in #Anesthesiology - PONV: Genetics Takes a Back Seat to the Usual Suspects 🎨 ow.ly/LNvh50UoFr7
Preventing, identifying and managing myocardial injury after non cardiac surgery - a narrative review. www.qxmd.com/r/39670630
Preventing, identifying and managing myocardial injury after non cardiac surgery - a narrative review. | Read by QxMD
www.qxmd.com
December 16, 2024 at 5:03 AM
Preventing, identifying and managing myocardial injury after non cardiac surgery - a narrative review. www.qxmd.com/r/39670630