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Chapter 1 - Preoperative Evaluation and Coexisting Disease

Published online by Cambridge University Press:  24 May 2023

By
Matthew Sherrer ,
Sher-Lu Pai  and
Jeffrey Dobyns
Edited by
Alan David Kaye  and
Richard D. Urman
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
Richard D. Urman
Affiliation:
Brigham and Women’s Hospital, Boston
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Summary

The preoperative evaluation is a review of a patient’s physical condition in preparation for surgery. The history and physical examination are the foundation of this assessment and focus on identifying predisposing factors for cardiac and pulmonary complications and on determining a patient’s functional capacity to define fitness for surgery. The history and physical examination findings determine the need for additional laboratory or diagnostic testing if such evaluation changes the course of action or improves patient health and outcomes. Presurgical medical optimization, including proper subspecialty consultation, improves surgical outcomes in patients with coexisting diseases. Preoperative preparation and optimization efforts focus on identifying and mitigating modifiable risk factors to improve surgical and longitudinal outcomes while reducing healthcare costs.

Type
Chapter
Information
Cambridge Handbook of Anesthesiology , pp. 4 - 22
Publisher: Cambridge University Press
Print publication year: 2023

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References

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