| Preoperative evaluation and preparation for anesthesia and surgery. | |
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MedLine Citation:
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PMID: 19582171 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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The ultimate goals of preoperative medical assessment are to reduce the patient's surgical and anesthetic perioperative morbidity or mortality, and to return him to desirable functioning as quickly as possible. It is imperative to realize that "perioperative" risk is multifactorial and a function of the preoperative medical condition of the patient, the invasiveness of the surgical procedure and the type of anesthetic administered. A history and physical examination, focusing on risk factors for cardiac and pulmonary complications and a determination of the patient's functional capacity, are essential to any preoperative evaluation. Laboratory investigations should be ordered only when indicated by the patient's medical status, drug therapy, or the nature of the proposed procedure and not on a routine basis. Persons without concomitant medical problems may need little more than a quick medical review. Those with comorbidity should be optimized for the procedure. Proper consultations with appropriate medical services should be obtained to improve the patient's health. These consultations should ideally not be done in a "last second" fashion. The preoperative preparation involves procedures that are implemented based on the nature of the expected operation as well as the findings of the diagnostic workup and the preoperative evaluation. |
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Authors:
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A Zambouri |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Hippokratia Volume: 11 ISSN: 1790-8019 ISO Abbreviation: - Publication Date: 2007 Jan |
Date Detail:
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Created Date: 2009-07-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101296613 Medline TA: Hippokratia Country: Greece |
Other Details:
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Languages: eng Pagination: 13-21 Citation Subset: - |
Affiliation:
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4th Dept of Anesthesiology, "Hippokratio" G. H., Thessaloniki, Greece. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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