ERAS/Perioperative Care in Lower Extremity Vascular Surgery Webinar Pre-Questions

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* 1. Name

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* 2. Email

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* 3. Is ERAS used in other specialties at your hospital?

Yes

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* 4. Do you currently use ERAS for infrainguinal bypass surgery?

Yes

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* 5. Do you currently use ERAS for major limb amputation surgery?

Yes

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* 6. How confident are you that you understand the components required for an ERAS program?

Very confident

Somewhat confident

Confident

Not confident

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* 7. Do you currently practice shared decision-making with your patients in the development of their treatment plan (Including patient-centered goals, discussion of all options, expectations for recovery)?

Always

Often

Sometimes

Rarely

Never

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* 8. Do you currently educate/counsel patients with written instructions at preadmission?

Yes

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* 9. Do you screen and assess your patients for the following (check all that apply)

evaluate the cause and treat chronic preoperative anemia

malnutrition

frailty

delirium risk

tobacco and alcohol cessation

cardiovascular risk

none of the above

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* 10. Do you consider delaying cases (excluding rest pain, worsening wounds, or severe infection) for 2-3 months to allow for pre-operative optimization beyond cardiac risk stratification?

Always

Often

Sometimes

Rarely

Never

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* 11. Do you currently use multi-modal pain control strategies to limit the need for opioids?

Always

Often

Sometimes

Rarely

Never

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* 12. Do you follow the American Society of Anesthesiology guidelines to allow clear liquids by mouth up to 2 hours prior to the time of scheduled surgery?

Always

Often

Sometimes

Rarely

Never

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* 13. A 72-year-old male with is planned to undergo a femoral to below-knee popliteal artery bypass with saphenous vein for CLTI (WIfI clinical stage 3: Wound grade 2, ischemia grade 2, infection grade 0). He has a history of coronary stent placement 5 years ago but currently denies chest pain and is able to slowly climb a flight of stairs without getting short of breath. He takes atorvastatin, lisinopril, and aspirin. You determine is he:

Average risk patient, no further workup needed, and you can post the case.

Average risk patient, but needs a formal cardiac workup and clearance from a cardiologist before you can post the case.

Average risk patient, but due to age, merits a screening for delirium risk and plan for brain health before doing the case.

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* 14. A 48-year-old female is planned to undergo a below knee amputation for non-revascularizable arterial insufficiency and Charcot foot deformity. She is concerned about pain and ability to get back to functional mobility. The best way to manage phantom limb pain is:

Occupational therapy sessions after surgery that include mirror therapy.

Prevent it by either epineural closure with transposition and reimplantation, or targeted muscle reinnervation during the index operation.

Multi-modal pain control strategies that include a gabapentinoid.