Adriana Dana Oprea, MD
Associate Professor of AnesthesiologyCards
Appointments
Additional Titles
Director, Endocrine Anesthesia
Contact Info
Appointments
Additional Titles
Director, Endocrine Anesthesia
Contact Info
Appointments
Additional Titles
Director, Endocrine Anesthesia
Contact Info
About
Titles
Associate Professor of Anesthesiology
Director, Endocrine Anesthesia
Biography
Dr. Adriana Dana Oprea is dual board certification, both in internal medicine and in anesthesiology. She received her medical degree from Carol Davila University of Medicine, Bucharest, Romania in 1998. Following her Internal Medicine residency at Norwalk Hospital, she completed a residency in Anesthesiology at Yale New Haven Hospital Her area of academic and clinical interest is preoperative optimization, especially for patients with endocrine and hematologic disorders.
She serves on multiple American Society of Anesthesiologists committees on Perioperative Medicine, and is the chair of Society for Perioperative Assessment and Quality Improvement (SPAQI) Guidelines and Annual Planning Meeting committees.
She lectures nationally and internationally on Perioperative Medicine topics (notably on preoperative optimization of patients with diabetes and on oral anticoagulation). She led the development of several SPAQI consensus statements on perioperative medication management and on patients wearing diabetes technology and she authored numerous publications on Perioperative Medicine topics. Dr Oprea is Associate Editor for the Journal of Clinical Anesthesia, section on Perioperative Medicine.
Appointments
Anesthesiology
Associate Professor on TermPrimary
Other Departments & Organizations
Education & Training
- Resident in Anesthesiology
- Yale-New Haven Hospital (2010)
- Resident in Internal Medicine
- Norwalk Hospital (2003)
- MD
- Carol Davila University of Medicine (1998)
- BS
- Mihai Viteazul National College (1992)
Board Certifications
Anesthesiology
- Certification Organization
- AB of Anesthesiology
- Original Certification Date
- 2011
Internal Medicine
- Certification Organization
- AB of Internal Medicine
- Latest Certification Date
- 2015
- Original Certification Date
- 2003
Research
Overview
Medical Research Interests
ORCID
0000-0003-3369-382X
Research at a Glance
Yale Co-Authors
Publications Timeline
Research Interests
Claudia Fernandez Robles, MD
James Dziura, MPH, PhD
Frans Wackers, MD, PhD
Jinlei Li, MD, PhD
Wanda Popescu, MD
Zyad James Carr, MD
Perioperative Care
Preoperative Care
Publications
2024
Perioperative Management of Patients Taking Glucagon-like Peptide-1 Receptor Agonists: Applying Evidence to Clinical Practice.
Oprea A, Umpierrez G, Sweitzer B, Hepner D. Perioperative Management of Patients Taking Glucagon-like Peptide-1 Receptor Agonists: Applying Evidence to Clinical Practice. Anesthesiology 2024, 141: 1141-1161. PMID: 39471345, DOI: 10.1097/aln.0000000000005204.Peer-Reviewed Original ResearchPerioperative Management of Adult Patients with Diabetes Wearing Devices: A Society for Perioperative Assessment and Quality Improvement (SPAQI) Expert Consensus Statement
Oprea A, Kalra S, Duggan E, Russell L, Urman R, Abdelmalak B, Patel P, Pfeifer K, Grant P, Charitou M, Mendez C, Sherr J, Umpierrez G, Klonoff D. Perioperative Management of Adult Patients with Diabetes Wearing Devices: A Society for Perioperative Assessment and Quality Improvement (SPAQI) Expert Consensus Statement. Journal Of Clinical Anesthesia 2024, 99: 111627. PMID: 39388833, DOI: 10.1016/j.jclinane.2024.111627.Peer-Reviewed Original ResearchAltmetricConceptsPreoperative management of medications for psychiatric disorders.
Fernandez Robles C, Fernandez-Robles C, Oprea A. Preoperative management of medications for psychiatric disorders. Panminerva Medica 2024, 66: 281-292. PMID: 38757800, DOI: 10.23736/s0031-0808.24.05151-6.Peer-Reviewed Original Research
2022
Preoperative Management of Cardiovascular Medications: A Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement
Sahai SK, Balonov K, Bentov N, Bierle DMM, Browning LM, Cummings KC, Dougan BM, Maxwell M, Merli GJ, Oprea AD, Sweitzer B, Mauck KF, Urman RD. Preoperative Management of Cardiovascular Medications: A Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement. Mayo Clinic Proceedings 2022, 97: 1734-1751. PMID: 36058586, DOI: 10.1016/j.mayocp.2022.03.039.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsCardiovascular medicationsPerioperative assessmentAntiarrhythmic agentsReceptor antagonistAngiotensin receptor neprilysin inhibitorQuality Improvement (SPAQI) Consensus StatementAngiotensin II receptor blockersClass I antiarrhythmic agentsClass III antiarrhythmic agentII receptor blockersClasses of medicationsEndothelin receptor antagonistsPotassium-sparing diureticsCalcium channel blockersΒ-adrenoceptor blockersAdrenergic receptor antagonistPhosphodiesterase-5 inhibitorsEvidence-based recommendationsSodium channel blockersPotassium channel openersSympatholytic medicationsReceptor blockersPerioperative managementHeart failureLoop diureticsPreoperative Management of Medications for Rheumatologic and HIV Diseases: Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement
Russell LA, Craig C, Flores EK, Wainaina JN, Keshock M, Kasten MJ, Hepner DL, Edwards AF, Urman RD, Mauck KF, Oprea AD. Preoperative Management of Medications for Rheumatologic and HIV Diseases: Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement. Mayo Clinic Proceedings 2022, 97: 1551-1571. PMID: 35933139, DOI: 10.1016/j.mayocp.2022.05.002.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsPerioperative medication managementPerioperative assessmentConsensus statementPreoperative managementMedication managementQuality Improvement (SPAQI) Consensus StatementEvidence-based perioperative careAnti-inflammatory medicationsPerioperative medical managementInfectious disease specialistsLong-term medicationInternal medicine physiciansComplexity of patientsPreoperative optimizationHIV diseaseCommon medicationsPerioperative careMedical managementDisease specialistsClinical guidanceConsensus recommendationsSurgical proceduresMedicine physiciansMedicationsExpert consensusPostdural Puncture Headache—Risks and Current Treatment
Li H, Wang Y, Oprea AD, Li J. Postdural Puncture Headache—Risks and Current Treatment. Current Pain And Headache Reports 2022, 26: 441-452. PMID: 35353358, DOI: 10.1007/s11916-022-01041-x.Peer-Reviewed Original ResearchCitationsMeSH Keywords and ConceptsConceptsPostdural puncture headacheCurrent treatmentDevelopment of PDPHMild postdural puncture headacheSevere postdural puncture headacheSelf-limited headacheEpidural blood patchFirst-line treatmentLong-term complicationsTherapy of choiceDull achingHeadache riskPDPH patientsPharmacological managementConservative treatmentBlood patchConservative managementFrequent complicationNerve blockNeuraxial blockNeuraxial techniquesPuncture headacheBed restChronic headacheFemale sexPerioperative Management of Patients with Idiopathic Pulmonary Fibrosis Undergoing Noncardiac Surgery: A Narrative Review
Carr ZJ, Yan L, Chavez-Duarte J, Zafar J, Oprea A. Perioperative Management of Patients with Idiopathic Pulmonary Fibrosis Undergoing Noncardiac Surgery: A Narrative Review. International Journal Of General Medicine 2022, 15: 2087-2100. PMID: 35237071, PMCID: PMC8882471, DOI: 10.2147/ijgm.s266217.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsCitationsAltmetricConceptsIdiopathic pulmonary fibrosisInterstitial lung diseaseIdiopathic interstitial pneumoniaIPF patientsNarrative reviewPerioperative managementHome oxygen useSafe perioperative carePostoperative pulmonary complicationsRetrospective cohort studyCardiopulmonary exercise testingOptimal perioperative managementPreoperative risk stratificationPulmonary function studiesWeb of ScienceAcute exacerbationARISCAT scorePostoperative pneumoniaPulmonary complicationsNoncardiac surgerySurgical populationCohort studyExercise testingInterstitial pneumoniaNeuraxial anesthesiaPreoperative Management of Medications for Neurologic Diseases Society for Perioperative Assessment and Quality Improvement Consensus Statement
Oprea AD, Keshock MC, O'Glasser AY, Cummings KC, Edwards AF, Hunderfund AL, Urman RD, Mauck KF. Preoperative Management of Medications for Neurologic Diseases Society for Perioperative Assessment and Quality Improvement Consensus Statement. Mayo Clinic Proceedings 2022, 97: 375-396. PMID: 35120701, DOI: 10.1016/j.mayocp.2021.11.010.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsPreoperative managementPerioperative assessmentNeurologic disordersQuality Improvement (SPAQI) Consensus StatementEvidence-based recommendationsPerioperative medicationsDiseases SocietyPerioperative cliniciansSocietal guidelinesConsensus statementNeurologic diseaseConsensus recommendationsInvasive proceduresMedicationsDrug substitutionIndividualized approachAnesthesia practicePerioperative medicineInternal medicineDisordersPatientsLaboratory testingMedicineManagementCliniciansPreoperative Management of Medications for Psychiatric Diseases Society for Perioperative Assessment and Quality Improvement Consensus Statement
Oprea AD, Keshock MC, O'Glasser AY, Cummings KC, Edwards AF, Zimbrean PC, Urman RD, Mauck KF. Preoperative Management of Medications for Psychiatric Diseases Society for Perioperative Assessment and Quality Improvement Consensus Statement. Mayo Clinic Proceedings 2022, 97: 397-416. PMID: 35120702, DOI: 10.1016/j.mayocp.2021.11.011.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsPsychiatric medication managementPreoperative managementPerioperative assessmentMedication managementConsensus statementQuality Improvement (SPAQI) Consensus StatementAttention deficit hyperactivity disorder medicationsDay of surgeryRisk of relapseHyperactivity disorder medicationsCategories of drugsMedication classesPerioperative complicationsDiseases SocietyMost medicationsIndividual medicationsMood stabilizersPsychiatric medicationsConsensus recommendationsMedicationsDrug categoriesCertain drugsPatient carePsychiatric conditionsProcedure cancellations
2021
Perioperative thrombocytopenia
Lombard FW, Popescu WM, Oprea AD, Kertai MD. Perioperative thrombocytopenia. Current Opinion In Anaesthesiology 2021, 34: 335-344. PMID: 33935182, DOI: 10.1097/aco.0000000000000999.Peer-Reviewed Original ResearchCitationsMeSH Keywords and ConceptsConceptsPlatelet countThrombopoietin receptor agonistsRisk of bleedingProphylactic platelet transfusionsProthrombin complex concentrateRecombinant factor VIIGood quality evidenceThreshold platelet countIntravenous immunoglobulinPreoperative thrombocytopeniaAsymptomatic patientsPerioperative strategiesPerioperative managementSevere bleedingAntifibrinolytic agentsPlatelet transfusionsComplex concentrateQuality evidenceFibrinogen levelsReceptor agonistPerioperative thrombocytopeniaPlatelet functionThrombin generationIntraoperative alternativeFactor VII