Coexisting Diseases & Surgery vs EBMRef

The Vargo Coexisting Diseases & Surgery App is a clinician-built resource designed to help anesthesia providers tailor anesthetic management to the patient’s underlying comorbidities and surgical considerations. Built from years of clinical experience, the app focuses on how coexisting diseases directly impact perioperative decision-making. Organized by major clinical systems, the app allows for rapid access to condition-specific anesthesia considerations—whether preparing for a case or managing complex patients in active clinical settings. The app is structured by major organ systems and disease categories, providing focused anesthesia guidance across a wide range of conditions: - Brain / Neuro Neurologic conditions and their impact on anesthesia management - Cardiac Hemodynamic considerations, cardiac pathology, and perioperative risk - Endocrine Diabetes, adrenal disorders, thyroid disease, and metabolic implications - Gastrointestinal GI disorders affecting anesthesia planning and intraoperative care - Hematologic Disorders Coagulopathies, anemia, and blood management considerations - Liver & Biliary Tract Hepatic dysfunction and implications for drug metabolism and coagulation - Pediatrics & OB/GYN Specialized considerations for pediatric and obstetric populations - Pulmonary Respiratory disease management and ventilation strategies - Renal Diseases Kidney dysfunction and fluid, electrolyte, and drug considerations - Congenital Heart Defects Structural cardiac conditions and tailored anesthesia approaches The app is built to provide clear, focused guidance that directly applies to clinical practice: Organized for rapid navigation by system and condition Emphasis on how disease states influence anesthetic planning Practical, case-driven considerations rather than general summaries This is a tool designed to help providers quickly answer the question: “How does this patient’s condition change my anesthetic plan?” The Vargo Coexisting Diseases & Surgery App is developed by experienced anesthesia providers who specialize in managing complex cases across a wide range of disease states. The content reflects real clinical decision-making and is continuously refined to remain relevant and practical. All future updates and additions are included with a one-time purchase. There are no subscriptions or recurring fees. Designed for every level of the anesthesia care team. Not just what to do—but the physiology driving every decision. Disclaimer: The Vargo Anesthesia Apps are intended for educational and clinical reference purposes only. These applications are designed to support clinical decision-making by trained healthcare professionals and are not a substitute for independent medical judgment, institutional policies, or current standards of care. Users are responsible for independently verifying all information, including drug dosages, calculations, and patient-specific considerations.

EBMRef is a comprehensive evidence-based medicine reference for physicians, nurses, advanced practice clinicians, medical students, and other healthcare learners. Review landmark clinical trials, explore concise evidence summaries, learn essential EBM terminology, and quickly find the details that matter for clinical interpretation all in one focused reference. FEATURES • Hundreds of landmark clinical trials across medical and surgical specialties • Concise key takeaways and clinically relevant major findings • Detailed study design, population, interventions, outcomes, and limitations • Browse and filter trials by specialty, publication year, study type, and open-access status • Searchable library of evidence-based medicine terminology and concepts • Direct PubMed links for source verification • Related articles and random trial discovery • Favorites, global search, recent searches, and personal notes EBMRef connects foundational evidence-based medicine concepts with practical clinical research appraisal. Whether you are reviewing a landmark trial, comparing evidence across specialties, or checking study methods and limitations, the app makes relevant information easy to find. Created by Rishi Kumar, MD, FACC (“RK.MD”), an academic adult cardiothoracic anesthesiologist and cardiovascular ICU intensivist committed to free, open-access medical education. Learn more at https://rk.md EBMRef is intended for educational and informational purposes only. It does not provide medical advice and is not a substitute for professional judgment, diagnosis, or treatment. Clinical findings and calculations must be independently verified and interpreted in the context of the individual patient. Seek guidance from a qualified healthcare professional regarding any medical condition. Do not disregard or delay professional medical advice because of information provided by this app.