STS guidelines for CABG are that all isolated CABG patients must receive *a* beta blocker within the day prior to surgery.
Keep in mind there is no evidence to support this as a quality metric, and there is evidence that de novo beta blockade the day of noncardiac surgery is harmful.
So what do we do to get around this absurd regulatory contradiction? 1cc of esmolol. Voila! Quality!
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Cardiac surgical beta blocker
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