Scholars@Duke
Jeanna Blitz

Jeanna Blitz

Associate Professor of Anesthesiology
Anesthesiology, General, Vascular, High Risk Transplant & Critical Care
jeanna.blitz@duke.edu

Selected Publications

Systems of Care Delivery and Optimization in the Preoperative Arena.

Journal Article Anesthesiol Clin · December 2023 Key elements of an effective preoperative process include the following: history-taking, risk assessment, shared decision making, effective interdisciplinary communication, preoperative optimization of modifiable conditions, longitudinal care coordination, ... Full text Link to item Cite

Preoperative Evaluation in the 21st Century.

Journal Article Anesthesiology · July 1, 2023 Full text Link to item Cite

Recommendations From the International Consensus Conference on Anemia Management in Surgical Patients (ICCAMS).

Journal Article Ann Surg · April 1, 2023 BACKGROUND: Perioperative anemia has been associated with increased risk of red blood cell transfusion and increased morbidity and mortality after surgery. The optimal approach to the diagnosis and management of perioperative anemia is not fully establishe ... Full text Link to item Cite

Implementation of shared decision-making conversations in the preoperative evaluation clinic: Developing an educational curriculum and improving quality

Journal Article Perioperative Care and Operating Room Management · March 1, 2023 Background: The American College of Surgeons created the Geriatric Surgical Verification program to improve the quality of perioperative care for geriatric patients. The standards include the incorporation of shared decision-making with goals of care discu ... Full text Cite

Women's health and perioperative medicine

Journal Article Perioperative Care and Operating Room Management · September 1, 2022 Full text Cite

Geriatric Preoperative Optimization: A Review.

Journal Article Am J Med · January 2022 This review summarizes best practices for the perioperative care of older adults as recommended by the American Geriatrics Society, American Society of Anesthesiologists, and American College of Surgeons, with practical implementation strategies that can b ... Full text Link to item Cite

Education in Perioperative Medicine

Chapter · January 1, 2022 The core elements of perioperative medicine curricula provide the foundation and skillset for the successful practice of perioperative medicine. Clinical concepts are framed within the six domains of quality care and improvement science tools. Transformati ... Full text Cite

Perioperative frailty: lessons learned and future directions.

Journal Article Curr Opin Anaesthesiol · June 1, 2021 PURPOSE OF REVIEW: As the surgical population ages, preoperative diagnosis and optimization of frailty becomes increasingly important. Various concepts are used to define frailty, and several tools have been validated for use in the perioperative period. T ... Full text Link to item Cite

2020 Update in perioperative medicine

Journal Article Perioperative Care and Operating Room Management · December 1, 2020 Important articles in perioperative medicine published and indexed on MEDLINE from February 2019 to February 2020 were compiled and reviewed. Three experts in perioperative medicine reviewed a total of 55 articles and independently voted on the most releva ... Full text Cite

Development and Performance of a Clinical Decision Support Tool to Inform Resource Utilization for Elective Operations.

Journal Article JAMA Netw Open · November 2, 2020 IMPORTANCE: Hospitals ceased most elective procedures during the height of coronavirus disease 2019 (COVID-19) infections. As hospitals begin to recommence elective procedures, it is necessary to have a means to assess how resource intensive a given case m ... Full text Link to item Cite

Tutorial: Development and Implementation of a Multidisciplinary Preoperative Nutrition Optimization Clinic.

Journal Article JPEN J Parenter Enteral Nutr · September 2020 Although much is known about surgical risk, little evidence exists regarding how best to proactively address preoperative risk factors to improve surgical outcomes. Preoperative malnutrition is a widely prevalent and modifiable risk factor in patients unde ... Full text Link to item Cite

Launching a Geriatric Surgery Center: Recommendations from the Society for Perioperative Assessment and Quality Improvement.

Journal Article J Am Geriatr Soc · September 2020 To prepare for the increasing numbers of older adults undergoing surgery, the American College of Surgeons (ACS) has recently launched the Geriatric Surgery Verification Program with the goal of encouraging the creation of centers of geriatric surgery. Mea ... Full text Link to item Cite

Special Considerations Related to Race, Sex, Gender, and Socioeconomic Status in the Preoperative Evaluation: Part 1: Race, History of Incarceration, and Health Literacy.

Journal Article Anesthesiol Clin · June 2020 Patients anticipating surgery and anesthesia often need preoperative care to reduce risk and facilitate services on the day of surgery. Preparing patients often requires extensive evaluation and coordination of care. Vulnerable, marginalized, and disenfran ... Full text Link to item Cite

Special Considerations Related to Race, Sex, Gender, and Socioeconomic Status in the Preoperative Evaluation: Part 2: Sex Considerations and Homeless Patients.

Journal Article Anesthesiol Clin · June 2020 Patients anticipating surgery and anesthesia often need preoperative care to lower risk and facilitate services on the day of surgery. Preparing patients often requires extensive evaluation and coordination of care. Vulnerable, marginalized, and disenfranc ... Full text Link to item Cite

Roadmap for Transforming Preoperative Assessment to Preoperative Optimization.

Journal Article Anesth Analg · April 2020 Preoperative assessment typically equates to evaluating and accepting the presenting condition of the patient (unless extreme) and commonly occurs only a few days before the planned surgery. While this timing enables a preoperative history and examination ... Full text Link to item Cite

Systems of Care Delivery and Optimization in the Preoperative Arena.

Journal Article Anesthesiol Clin · December 2023 Key elements of an effective preoperative process include the following: history-taking, risk assessment, shared decision making, effective interdisciplinary communication, preoperative optimization of modifiable conditions, longitudinal care coordination, ... Full text Link to item Cite

Preoperative Evaluation in the 21st Century.

Journal Article Anesthesiology · July 1, 2023 Full text Link to item Cite

Recommendations From the International Consensus Conference on Anemia Management in Surgical Patients (ICCAMS).

Journal Article Ann Surg · April 1, 2023 BACKGROUND: Perioperative anemia has been associated with increased risk of red blood cell transfusion and increased morbidity and mortality after surgery. The optimal approach to the diagnosis and management of perioperative anemia is not fully establishe ... Full text Link to item Cite

Implementation of shared decision-making conversations in the preoperative evaluation clinic: Developing an educational curriculum and improving quality

Journal Article Perioperative Care and Operating Room Management · March 1, 2023 Background: The American College of Surgeons created the Geriatric Surgical Verification program to improve the quality of perioperative care for geriatric patients. The standards include the incorporation of shared decision-making with goals of care discu ... Full text Cite

Women's health and perioperative medicine

Journal Article Perioperative Care and Operating Room Management · September 1, 2022 Full text Cite

Geriatric Preoperative Optimization: A Review.

Journal Article Am J Med · January 2022 This review summarizes best practices for the perioperative care of older adults as recommended by the American Geriatrics Society, American Society of Anesthesiologists, and American College of Surgeons, with practical implementation strategies that can b ... Full text Link to item Cite

Education in Perioperative Medicine

Chapter · January 1, 2022 The core elements of perioperative medicine curricula provide the foundation and skillset for the successful practice of perioperative medicine. Clinical concepts are framed within the six domains of quality care and improvement science tools. Transformati ... Full text Cite

Perioperative frailty: lessons learned and future directions.

Journal Article Curr Opin Anaesthesiol · June 1, 2021 PURPOSE OF REVIEW: As the surgical population ages, preoperative diagnosis and optimization of frailty becomes increasingly important. Various concepts are used to define frailty, and several tools have been validated for use in the perioperative period. T ... Full text Link to item Cite

2020 Update in perioperative medicine

Journal Article Perioperative Care and Operating Room Management · December 1, 2020 Important articles in perioperative medicine published and indexed on MEDLINE from February 2019 to February 2020 were compiled and reviewed. Three experts in perioperative medicine reviewed a total of 55 articles and independently voted on the most releva ... Full text Cite

Development and Performance of a Clinical Decision Support Tool to Inform Resource Utilization for Elective Operations.

Journal Article JAMA Netw Open · November 2, 2020 IMPORTANCE: Hospitals ceased most elective procedures during the height of coronavirus disease 2019 (COVID-19) infections. As hospitals begin to recommence elective procedures, it is necessary to have a means to assess how resource intensive a given case m ... Full text Link to item Cite

Tutorial: Development and Implementation of a Multidisciplinary Preoperative Nutrition Optimization Clinic.

Journal Article JPEN J Parenter Enteral Nutr · September 2020 Although much is known about surgical risk, little evidence exists regarding how best to proactively address preoperative risk factors to improve surgical outcomes. Preoperative malnutrition is a widely prevalent and modifiable risk factor in patients unde ... Full text Link to item Cite

Launching a Geriatric Surgery Center: Recommendations from the Society for Perioperative Assessment and Quality Improvement.

Journal Article J Am Geriatr Soc · September 2020 To prepare for the increasing numbers of older adults undergoing surgery, the American College of Surgeons (ACS) has recently launched the Geriatric Surgery Verification Program with the goal of encouraging the creation of centers of geriatric surgery. Mea ... Full text Link to item Cite

Special Considerations Related to Race, Sex, Gender, and Socioeconomic Status in the Preoperative Evaluation: Part 1: Race, History of Incarceration, and Health Literacy.

Journal Article Anesthesiol Clin · June 2020 Patients anticipating surgery and anesthesia often need preoperative care to reduce risk and facilitate services on the day of surgery. Preparing patients often requires extensive evaluation and coordination of care. Vulnerable, marginalized, and disenfran ... Full text Link to item Cite

Special Considerations Related to Race, Sex, Gender, and Socioeconomic Status in the Preoperative Evaluation: Part 2: Sex Considerations and Homeless Patients.

Journal Article Anesthesiol Clin · June 2020 Patients anticipating surgery and anesthesia often need preoperative care to lower risk and facilitate services on the day of surgery. Preparing patients often requires extensive evaluation and coordination of care. Vulnerable, marginalized, and disenfranc ... Full text Link to item Cite

Roadmap for Transforming Preoperative Assessment to Preoperative Optimization.

Journal Article Anesth Analg · April 2020 Preoperative assessment typically equates to evaluating and accepting the presenting condition of the patient (unless extreme) and commonly occurs only a few days before the planned surgery. While this timing enables a preoperative history and examination ... Full text Link to item Cite

Implementation of a Preoperative Anemia Clinic Utilizing a Minimal Staffing Model.

Journal Article A A Pract · February 1, 2020 We present a process map for the implementation of a program to treat preoperative anemia utilizing 1 existing anesthesiologist in the preoperative evaluation clinic. In the first 7 months postimplementation, 342 patients were screened for anemia, 166 were ... Full text Link to item Cite

Preoperative Assessment and Management of Patients with Pain and Anxiety Disorders.

Journal Article Curr Anesthesiol Rep · 2020 PURPOSE OF REVIEW: This review summarizes selected recent evidence on issues important for preoperative pain evaluation. RECENT FINDINGS: Opioids, though a mainstay of postoperative pain management, are associated with both short and increasingly recognize ... Full text Link to item Cite

Using Time-Driven Activity-Based Costing to Demonstrate Value in Perioperative Care: Recommendations and Review from the Society for Perioperative Assessment and Quality Improvement (SPAQI).

Journal Article J Med Syst · December 11, 2019 A shift in healthcare payment models from volume toward value-based incentives will require deliberate input into systems development from both perioperative clinicians and administrators to ensure appropriate recognition of the value of all services provi ... Full text Link to item Cite

Paper Abstract

Journal Article Journal of the American Geriatrics Society · April 2019 Full text Cite

Designing and Running a Preoperative Clinic.

Journal Article Anesthesiol Clin · December 2018 Value in health care has been described as quality divided by cost, where quality is the sum of patient outcomes and experience. A well-run preoperative evaluation clinic (PEC) offers many opportunities to improve the value of the care delivered to patient ... Full text Link to item Cite

A retrospective study of opioid prescribing patterns at hospital discharge in surgical patients with obstructive sleep apnea.

Journal Article Can J Anaesth · August 2018 PURPOSE: Obstructive sleep apnea (OSA) is a risk factor for complications with postoperative opioid use, and in those patients with known or suspected OSA, minimization of postoperative opioids is recommended. We hypothesize that despite these recommendati ... Full text Link to item Cite

Chronic kidney disease

Chapter · January 1, 2018 Cite

End stage renal disease on dialysis

Chapter · January 1, 2018 Cite

In Reply.

Journal Article Anesthesiology · May 2017 Full text Link to item Cite

Objective model using only gender, age and medication list predicts in-hospital morbidity after elective surgery.

Journal Article Br J Anaesth · April 1, 2017 BACKGROUND.: Most current surgical risk models contain many variables: some of which may be esoteric, require a physician's assessment or must be obtained intraoperatively. Early preoperative risk stratification is essential to identify high risk, elective ... Full text Link to item Cite

The association between pre-operative variables, including blood pressure, and postoperative kidney function.

Journal Article Anaesthesia · December 2016 We used multivariate analyses to assess the association of pre-operative variables with kidney function in 41,523 adults after scheduled surgery in a single large academic hospital. Eight variables were independently associated with a reduction in postoper ... Full text Link to item Cite

Preoperative Renal Insufficiency: Underreporting and Association With Readmission and Major Postoperative Morbidity in an Academic Medical Center.

Journal Article Anesth Analg · December 2016 BACKGROUND: Making a formal diagnosis of chronic kidney disease (CKD) in the preoperative setting may be challenging because of lack of longitudinal data. We explored the predictive value of a single reduced preoperative estimated glomerular filtration rat ... Full text Link to item Cite

Increasing body mass index and the incidence of intraoperative hypoxemia.

Journal Article J Clin Anesth · September 2016 STUDY OBJECTIVE: Obese patients regularly present for surgery and have greater hypoxemia risk. This study aimed to identify the risk and incidence of intraoperative hypoxemia with increasing body mass index (BMI). DESIGN: This was a retrospective cohort st ... Full text Link to item Cite

Preoperative Evaluation Clinic Visit Is Associated with Decreased Risk of In-hospital Postoperative Mortality.

Journal Article Anesthesiology · August 2016 BACKGROUND: As specialists in perioperative medicine, anesthesiologists are well equipped to design and oversee the preoperative patient preparation process; however, the impact of an anesthesiologist-led preoperative evaluation clinic (PEC) on clinical ou ... Full text Link to item Cite

Use of Preoperative Testing and Physicians' Response to Professional Society Guidance.

Journal Article JAMA Intern Med · August 2015 IMPORTANCE: The value of routine preoperative testing before most surgical procedures is widely considered to be low. To improve the quality of preoperative care and reduce waste, 2 professional societies released guidance on use of routine preoperative te ... Full text Link to item Cite

Operating room fires

Chapter · October 31, 2012 Cite

A randomized double blind study to evaluate efficacy of palonosetron with dexamethasone versus palonosetron alone for prevention of postoperative and postdischarge nausea and vomiting in subjects undergoing laparoscopic surgeries with high emetogenic risk.

Journal Article Am J Ther · September 2012 Postoperative nausea and vomiting (PONV) and postdischarge nausea and vomiting (PDNV) are common occurrences (50%-80%) after laparoscopic surgery. Palonosetron (Pal), the newest 5-HT3 antagonist, is an effective antiemetic that has advantages in treating P ... Full text Link to item Cite

Buffered aspirin and oral salicylate

Chapter · January 1, 2010 Generic Name: aspirin Trade/Proprietary Name: Bayer Aspirin™, Bufferin™, Ecotrin™, Empirin™, Anacin™ Drug Class: anti-inflammatory drug Manufacturers: Bayer Health Care, 100 Bayer Road, Pittsburgh, PA 15205; Bristol Myers-Squibb, 5 Research Pkwy, Wallingfo ... Full text Cite