CalculatorsCreatedNovember 21, 2020Last UpdateMarch 12, 2021Ross Hanrahan Cardiac GUPTA Perioperative Cardiac Risk GUPTA Postoperative Cardiac Risk PredictionAgeAge as Calc Field (hidden)Consider using geriatric MICA calculator for patients ≥ 65 years old.Creatinine (mcmol/L)* ≥ 133 < 130 UnknownASA Class* I II III IV VFunctional Status? Totally Independent Partially Dependent Totally DependentAge EffectProcedure*AnorectalAorticBariatricBrainBreastCardiacENT (excludes thyroid, parathyroid)Foregut/ HepatopancreatobiliaryGallbladder/ Appendix/ Adrenal/ SpleenHernia (ventral, inguinal, femoral)IntestinalNeck (Thyroid, Parathyroid)Obstetric/ GynaecologicOrthopaedic and Non-vascular ExtremityOther AbdominalPeripheral VascularSkinSpineNon-Oesophageal ThoracicVeinUrologyLe to the LEstimated Risk of MI or Cardiac Arrest*Estimated Risk of MI or Cardiac Arrest**Calculated risk or intraoperative/postoperative Myocardial Infarction or Cardiac arrest (MICA) through 30 days after surgery. Payment options Geriatric MICA Risk Prediction (> 65yo) Geriatric MICA Risk Estimation (patients ≥ 65yo)Stroke No YesASA Class* I II III IV VProcedureAnorectalAorticBariatricBrainBreastENTForegut/ HepatopancreatobiliaryGallbladder/ Appendix/ Adrenal/ Spleen/ IntestinalHerniaNeckGynaecologicOrthopaedicOther AbdominalPeripheral VascularSkinSpineThoracicVeinUrologyFunctional Status? Totally Independent Partially Dependent Totally DependentCreatinine (mcmol/L) ≤ 132 > 132 UnknownHistory of Heart Failure? No YesDiabetes? No Yes, not insulin dependent Yes, insulin dependentLe to the LEstimated Risk of MI or Cardiac Arrest*Estimated Risk of MI or Cardiac Arrest**Calculated risk or intraoperative/postoperative Myocardial Infarction or Cardiac arrest (MICA) through 30 days after surgery. Payment options Endocrine Adjusted Body Weight Calculation Adjusted Body Weight in ObesityWeight (kg)*Height (cm)*Select a Choice* Male FemaleValidate BMI DataValidate All DataBMI (kg.m-2)Ideal Body Weight (kg)What the patient should weigh with a normal ratio of lean to fat mass.Lean Body Weight (kg)The patient’s weight excluding fat.Adjusted Body Weight (kg)Takes into account the fact that obese individuals have increased lean body mass and an increased volume of distribution for drugs. It is calculated by adding 40% of the excess weight to the IBW. Payment options Respiratory ARISCAT Post-Operative Pulmonary Complication Risk ARISCAT Post-Operative Pulmonary Complication RiskAge* ≤ 50 51 - 80 > 80Pre-operative SpO2* ≥ 96% 91 - 95% ≤ 90%Respiratory infection in the last month* No YesPreoperative Anaemia (Hb ≤ 10g/L)* No YesSurgical incision Peripheral Upper Abdominal IntrathoracicDuration of surgery (h) < 2 2 - 3 > 3Emergency procedure No YesARISCAT Score ≥ 45 High Risk ~42.1% 26 - 44 Moderate Risk ~13.3% < 26 Low Risk ~1.6% Predicted post-operative pulmonary complication rate of ~42.1% Post-operative pulmonary complications include: respiratory failure, respiratory infection, pleural effusion, atelectasis, pneuomthorax, bronchospasm and aspiration pneurmonia ≥ 45 High Risk ~42.1% 26 - 44 Moderate Risk ~13.3% < 26 Low Risk ~1.6% Predicted post-operative pulmonary complication rate of ~13.3% Post-operative pulmonary complications include: respiratory failure, respiratory infection, pleural effusion, atelectasis, pneuomthorax, bronchospasm and aspiration pneurmonia ≥ 45 High Risk ~42.1% 26 - 44 Moderate Risk ~13.3% < 26 Low Risk ~1.6% Predicted post-operative pulmonary complication rate of ~1.6% Post-operative pulmonary complications include: respiratory failure, respiratory infection, pleural effusion, atelectasis, pneuomthorax, bronchospasm and aspiration pneurmonia Payment options GUPTA Postoperative Pneumonia Risk PredictionAgeAge FactorCOPD No YesFunctional Status? Totally Independent Partially Dependent Totally DependentProcedureAnorectalAorticBariatricBrainBreastCardiacENT (except thyroid/parathyroid)Foregut or hepatopancreatobiliaryGallbladder, appendix, adrenals, or spleenHernia (ventral, inguinal, femoral)IntestinalNeckObstetric/gynecologicOrthopedicOther abdomenPeripheral vascularSkinSpineNon-esophageal thoracicVeinUrologyASA Class* I II III IV VSepsis? None Preoperative Sepsis Preoperative Septic Shock Preoperative Systemic Inflammatory Response Syndrome (SIRS)Smoking Within the Last Year* No YesLe to the LEstimated Risk of Post-operative Pneumonia*Estimated Risk of Post-operative Pneumonia**Risk of postoperative pneumonia through 30 days after surgery. Payment options GUPTA Post-Operative Pneumonia Risk Prediction GUPTA Postoperative Respiratory Failure Risk PredictionSelect a ChoiceAnorectalAorticBariatricBrainBreastCardiacENT (excludes thyroid, parathyroid)Foregut/ HepatopancreatobiliaryGallbladder/ Appendix/ Adrenal/ SpleenHernia (ventral, inguinal, femoral)IntestinalNeck (Thyroid, Parathyroid)Obstetric/ GynaecologicOrthopaedic and Non-vascular ExtremityOther AbdominalPeripheral VascularSkinSpineNon-Oesophageal ThoracicVeinUrologyASA Class* I II III IVEmergency Case?* No YesFunctional Status? Totally Independent Partially Dependent Totally DependentSepsis? None Preoperative Sepsis Preoperative Septic Shock Preoperative Systemic Inflammatory Response Syndrome (SIRS)Le to the LEstimated Risk of Respiratory Failure*Estimated Risk of Respiratory Failure**Postoperative respiratory failure (PRF) is considered as failure to wean from mechanical ventilation within 48 hours of surgery or unplanned intubation/reintubation postoperatively. Payment options Renal Cockcroft-Gault Creatinine Clearance CalculationAge (years)*Weight (kg)*Creatinine (mcmol/L)*Gender* Male FemaleCalculated CrClObesity AdjustmentFor Patients > 20-30% above ideal body weight, adjusted bodyweight (IBW + 40% of excess weight) yields a more accurate CrCl*.Height is needed to calculate IBW.Height (cm)Ideal Body Weight (kg)Ideal Body Weight (kg)% Above IBWAdjusted Body Weight (kg)Obesity Adjusted GFR Payment options