Theophylline should be held the night before surgery due to potential risk of arrhythmia. If the patient is currently taking corticosteroids, the usual dose of steroids is given on the morning of surgery, but stress-dose steroids are usually unnecessary.
Mahmoud KD, Sanon S, Habermann EB, et al. Perioperative cardiovascular risk of prior coronary stent implantation among patients undergoing noncardiac surgery. J Am Coll Cardiol. 2016;67(9):1038–1049.
Sun MT, Wood MK, Chan W, et al. Risk of bleeding with novel oral anticoagulants compared with warfarin: a systematic review and meta-analysis. JAMA Ophthalmol. 2017;135(8):864–870.
Wijeysundera DN, Duncan D, Nkonde-Price C, et al; ACC/AHA Task Force Members. Perioperative beta blockade in noncardiac surgery: a systematic review for the 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines. Circulation. 2014;130(24):2246–2264.
Excerpted from BCSC 2020-2021 series: Section 1 - Update on General Medicine. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.