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Cancel or Proceed

A guided decision tool that gives you a definitive cancel-or-proceed call for any surgical case — built on the latest perioperative guidelines.

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You're in the holding area, the room is waiting, and the patient isn't textbook. Cancel or Proceed gives you a clear, defensible answer in a few taps — not a textbook chapter to scroll through while everyone waits.

How it works

Start with how urgent the case is. Then pick the single concern you're weighing — cardiac, airway, endocrine, liver, anemia, medications, or frailty. The tool walks that branch and returns a verdict, with the reasoning and the citation right there on the card.

  • Proceed — no cancellation indicated.
  • Proceed with mitigation — go, with specific measures or closer monitoring.
  • Optimize & delay — postpone an elective case to fix what's fixable.
  • Do not proceed — a genuine hard stop; stabilize or re-time first.

Built on current guidelines, not memory

Every branch is anchored to sources from the last few years — the 2024 AHA/ACC perioperative guideline, updated COVID timing, MELD 3.0, and the new GLP-1 and SGLT2 rules. The lines that moved since your training moved here too, so you're not deciding off a number that's a decade stale.

Definitive, not vague

An immediate, life-or-limb case is told to proceed and optimize in parallel. A reversible problem before an elective case is told to optimize and wait. And when a finding is a true hard stop, the tool says so plainly — so the call you make is one you can stand behind.

Included in

Clinical Access ProFull Access CE

Clinical Access Pro unlocks this and every drug, surgery, and calculator in the app, plus 6 AANA-accredited CE credits. Full Access CE includes all of that and the full course library when you’re ready to earn more.

Understand the concept →