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Post by kristenhorsman on Jul 3, 2024 14:37:36 GMT -5
This month I chose an article reviewing dietary supplements and their anesthetic implications. It is important to decipher which supplements our patients are taking because they can impair various body systems. Please refer to the article attached to the email and answer the following two questions:
1. Do you typically ask about dietary supplements in your preop assessment? Why or why not?
2. What are some supplements that affect hemostasis? If you have discovered your patient is taking herbal supplements known to affect hemostasis and they have not been held, do you have a conversation with your surgeon about increased bleeding potential?
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Post by Sue Kim on Jul 12, 2024 9:53:54 GMT -5
1. Admittedly, I typically do not ask about dietary supplements during my preop assessment, mainly d/t just not remembering to do so. However, after reading this article, the habit of asking about this can prove to be very useful.
2. Surprisingly, there are many supplements that affect hemostasis - such as gingko, ginseng, fish oil, and turmeric, to name some of the common and 'trendy' ones. Yes, I will have a conversation with the surgeon if the pt is known to take such supplements, especially if the procedure has a moderate to high risk of bleeding intraop.
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Post by Ben Waldbaum on Jul 25, 2024 13:09:01 GMT -5
1. If I see them listed, I'll ask about them but don't routinely ask
2. There are many of them that may interfere with hemostasis. Most famously is ginko. as for when the don't hold their herbals before surgery, team communication is appropriate.
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Post by aileenm4 on Jul 28, 2024 21:21:04 GMT -5
although I work in peds, I still ask the parents if they give their children any medication or supplements including herbal over the counter I ask teens themselves if they take anything as well
some causing bleeding issues include, garlic, ginko, ginger, echinacea, kava, saw palmetto and St john wort
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Post by Jessica Hadley on Jul 30, 2024 12:16:56 GMT -5
1. I do not routinely ask patients about supplements unless they are listed on their home med list.
2. A few of the supplements that can impair hemostasis are tumeric, garlic, fish oil, ginko, ginseng, grapeseed and many others according to the article. I think it is appropriate to have a conversation with the surgeon regarding these supplements if they have not been held preoperatively.
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