Format

Send to

Choose Destination
Med Clin North Am. 2009 Sep;93(5):963-77. doi: 10.1016/j.mcna.2009.05.010.

Integrated assessment and consultation for the preoperative patient.

Author information

1
Department of Anesthesiology, Yale University School of Medicine, Yale-New Haven Hospital, New Haven, CT 06510, USA. david.silverman@yale.edu

Abstract

Assessment of the presurgical patient requires interdisciplinary cooperation over the continuum of documentation and optimization of existing disorders, determination of patient resilience and reserve, and planning for subsequent interventions and care. For many patients, evident or suspected morbidities or anticipated surgical disturbance warrant specialty consultation. There may be uncertainty as to the optimal processes for a given patient, a limitation attributable to myriad factors, not the least of which is that there is often a paucity of evidence that is directly relevant to a given patient in a given setting. The present article discusses these limitations and describes a framework for documentation, optimization, risk assessment, and planning, as well as a uniform grading of existing morbidities and anticipated perioperative disturbances for patients requiring integrated assessment and consultation.

PMID:
19665614
DOI:
10.1016/j.mcna.2009.05.010
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center