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PERIOPERATIVE MEDICINE • 41ST YEAR • 2026

Johns Hopkins Perioperative Management 2026

Comprehensive Perioperative Medicine Review

A multidisciplinary clinical update covering the evaluation, optimization, intraoperative management, and postoperative care of increasingly complex surgical patients.

4-Day Program
Multidisciplinary
Case-Focused
2026 Clinical Update

The Complete Perioperative Continuum

Before Surgery.
During Surgery.
After Surgery.

Perioperative medicine is no longer simply about “clearing” a patient for surgery. Modern care requires risk stratification, medical optimization, intraoperative awareness, postoperative surveillance, and rapid management of complications across multiple organ systems.

01 • Preoperative

Assess & Optimize

Cardiac and pulmonary risk, anticoagulation, heart failure, diabetes, renal disease, frailty, medications, anemia and preoperative testing.

02 • Intraoperative

Manage & Monitor

Hemodynamics, airway management, sedation, fluid therapy, blood management, analgesia, monitoring and multidisciplinary decision-making.

03 • Postoperative

Detect & Recover

Myocardial injury, atrial fibrillation, hypoxia, AKI, delirium, infection, VTE, sepsis, pain and enhanced recovery.

Modern Surgical Patients Are More Complex

One Operation. Multiple Medical Risks.

Older age, cardiovascular disease, anticoagulation, diabetes, pulmonary disease, renal dysfunction, frailty, polypharmacy and increasingly complex procedures make perioperative decision-making a multidisciplinary challenge.

✓
Assess Risk

Identify cardiovascular, pulmonary and systemic perioperative risk.

✓
Optimize Before Surgery

Address medications, comorbidities, anticoagulation and modifiable risks.

✓
Prevent Complications

Recognize and manage common postoperative problems earlier.

Cardiovascular Perioperative Medicine

Risk Assessment, Optimization & Surveillance

Review the cardiovascular decisions that frequently determine whether a patient can proceed safely to surgery and how they should be monitored afterward.

Cardiac Risk

Preoperative Cardiac Assessment

Testing, risk stratification and evidence-based evaluation before surgery.

Heart Failure

Cardiomyopathy & HF

Optimization of patients with heart failure and cardiomyopathy.

Antithrombotic Therapy

Antiplatelets & Anticoagulation

Warfarin, DOACs and antiplatelet therapy around surgery.

Postoperative Cardiology

Troponin, AF & Myocardial Injury

Recognition and management of common postoperative cardiovascular problems.

Pulmonary • Airway • Hemodynamics

Prepare for the Problems That Can Change a Surgical Course

Pulmonary Risk

Preoperative assessment, pulmonary hypertension and respiratory complications.

Airway & Sedation

Difficult airway management, sedation safety and acute hypoxia.

Hemodynamics

Goal-directed hemodynamic therapy and perioperative fluid decisions.

Blood Management

Perioperative anemia, transfusion and patient blood management.

Point-of-Care Ultrasound

Add POCUS to Perioperative Decision-Making

Review the growing role of focused ultrasound in rapidly assessing perioperative physiology and supporting real-time clinical decisions.

Clinical Integration

Connect bedside imaging with cardiovascular, pulmonary and hemodynamic assessment in the perioperative setting.

Metabolic Medicine • Pain • Infection

Manage the Comorbidities That Complicate Recovery

Diabetes & Hyperglycemia

Current approaches to perioperative glucose management.

Renal Dysfunction & AKI

Renal risk, electrolyte disorders and AKI prevention.

Pain Management

Multimodal analgesia, chronic opioids, buprenorphine and methadone.

Infection Prevention

Surgical-site and healthcare-associated infection strategies.

Postoperative Medicine

Recognize Complications Before They Escalate

Postoperative Delirium
DVT & Pulmonary Embolism
Sepsis
Respiratory Failure
Acute Kidney Injury

The Future of Perioperative Care

ERAS • Frailty • Monitoring • Artificial Intelligence

Explore evolving approaches including enhanced recovery pathways, prehabilitation, frailty assessment, continuous physiologic monitoring and emerging applications of artificial intelligence.

Designed For

The Multidisciplinary Perioperative Team

Relevant to clinicians responsible for evaluating, optimizing, managing, or monitoring patients throughout the surgical pathway.

Anesthesiologists
Surgeons
Hospitalists
Cardiologists
Pulmonologists
Intensivists
Internal Medicine
NPs & PAs
Residents & Fellows

Why This Program Matters

Perioperative Decisions Can Shape the Entire Surgical Outcome

This program brings cardiovascular, pulmonary, metabolic, anesthetic, surgical, critical-care and postoperative perspectives together so clinicians can approach the surgical patient as one integrated clinical problem rather than a collection of isolated conditions.

Complete Perioperative Medicine Review

Assess the Risk.
Optimize the Patient.
Prevent the Complication.

Bring preoperative evaluation, intraoperative management, and postoperative medicine together in one comprehensive 2026 clinical update.

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