PreOp: Perioperative Medicine

PreOp is the complete perioperative medicine toolkit for clinicians who assess and manage surgical patients. Built for hospitalists, internists, anesthesiologists, surgeons, and residents. DAY-OF-SURGERY READINESS Enter patient data and instantly see Proceed, Proceed with Precautions, Optimize, or Defer. The readiness dashboard surfaces cardiac, medication, metabolic, airway, and VTE flags with guideline-cited actions. NEURAXIAL TIMING ASSISTANT Select the anticoagulant, enter the last dose time, and see exactly when spinal/epidural placement and catheter removal are safe. 18 drugs with CrCl-adjusted dabigatran timing. Based on ASRA 2025 (5th Edition). AIRWAY & ASPIRATION ASSESSMENT Score airway difficulty and aspiration risk including GLP-1 agent management per 2024 multisociety guidance. POST-OP PLAN GENERATOR Medication restart timing, VTE prophylaxis duration, troponin surveillance, glucose management, CPAP/OSA plan, delirium prevention, pain/PONV management. INVESTIGATION ENGINE See which tests to order, which to consider, and which NOT to order, with evidence-based rationale. HANDOFF & DOCUMENTATION I-PASS handoffs, SBAR, problem lists, patient instructions, attending summaries. MORNING BOARD OR case list with readiness flags and action tracking. 23-POINT SAFETY AUDIT Medication safety, VTE, cardiac surveillance, glucose, airway. Scored 0-100. 14 VALIDATED CALCULATORS RCRI, CHA2DS2-VASc, Caprini VTE, STOP-BANG, ASA, METs, HAS-BLED, MELD, Child-Pugh, Wells DVT, IMPROVE, ARISCAT, Apfel, Clinical Frailty Scale. 39 MEDICATION REFERENCES Anticoagulants, antiplatelets, diabetes drugs, cardiac, psychiatric, rheumatologic. Hold/resume/bridge with safety alerts. 8 OPTIMIZATION BUNDLES Anemia, HF, COPD, DM, CKD, cirrhosis, frailty, OSA. WORKS OFFLINE. Every recommendation traces to a published guideline. Dark and light mode. DISCLAIMER Clinical reference for licensed healthcare professionals. Does not generate prescriptions, replace clinical judgment, or substitute for institutional protocols. Patient data stays on device.