Update in Perioperative Medicine

Updates16 March 2004Update in Perioperative MedicineGerald W. Smetana, MD, Steven L. Cohn, MD, and Valerie A. Lawrence, MDGerald W. Smetana, MDFrom Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts; State University of New York Downstate Medical Center, Brooklyn, New York; VERDICT (A VHA Health Services Research Center of Excellence), South Texas Veterans Health Care System, and the University of Texas Health Center, San Antonio, Texas., Steven L. Cohn, MDFrom Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts; State University of New York Downstate Medical Center, Brooklyn, New York; VERDICT (A VHA Health Services Research Center of Excellence), South Texas Veterans Health Care System, and the University of Texas Health Center, San Antonio, Texas., and Valerie A. Lawrence, MDFrom Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts; State University of New York Downstate Medical Center, Brooklyn, New York; VERDICT (A VHA Health Services Research Center of Excellence), South Texas Veterans Health Care System, and the University of Texas Health Center, San Antonio, Texas.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-140-6-200403160-00012 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Medical consultation for patients preparing for surgery is an important activity for internists. Many clinicians may, however, feel unprepared for this role because the science and clinical recommendations do not follow intuitively from the day-to-day care of medical patients in the office or the hospital. Over the past 3 decades, this field has evolved from one of clinical experience and anecdote to a more evidence-based discipline. We present this first Update in Perioperative Medicine to review recent key articles and advances in this field.We polled colleagues and used a systematic search strategy to identify articles of particular relevance for ...References1. Poldermans D, Boersma E, Bax JJ, Thomson IR, van de Ven LL, Blankensteijn JD, et al . The effect of bisoprolol on perioperative mortality and myocardial infarction in high-risk patients undergoing vascular surgery. Dutch Echocardiographic Cardiac Risk Evaluation Applying Stress Echocardiography Study Group. N Engl J Med. 1999;341:1789-94. [PMID: 10588963] CrossrefMedlineGoogle Scholar2. Lee TH, Marcantonio ER, Mangione CM, Thomas EJ, Polanczyk CA, Cook EF, et al . Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation. 1999;100:1043-9. 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[PMID: 10903604] CrossrefMedlineGoogle Scholar13. Reilly DF, McNeely MJ, Doerner D, Greenberg DL, Staiger TO, Geist MJ, et al . Self-reported exercise tolerance and the risk of serious perioperative complications. Arch Intern Med. 1999;159:2185-92. [PMID: 10527296] CrossrefMedlineGoogle Scholar14. Smetana GW. Preoperative pulmonary evaluation. N Engl J Med. 1999;340:937-44. [PMID: 10089188] CrossrefMedlineGoogle Scholar15. Straus SE, McAlister FA, Sackett DL, Deeks JJ. The accuracy of patient history, wheezing, and laryngeal measurements in diagnosing obstructive airway disease. CARE-COAD1 Group. Clinical Assessment of the Reliability of the Examination-Chronic Obstructive Airways Disease. JAMA. 2000;283:1853-7. [PMID: 10770147] CrossrefMedlineGoogle Scholar16. Bergqvist D, Agnelli G, Cohen AT, Eldor A, Nilsson PE, Le Moigne-Amrani A, et al . Duration of prophylaxis against venous thromboembolism with enoxaparin after surgery for cancer. ENOXACAN II Investigators. 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Lawrence, MDAffiliations: From Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts; State University of New York Downstate Medical Center, Brooklyn, New York; VERDICT (A VHA Health Services Research Center of Excellence), South Texas Veterans Health Care System, and the University of Texas Health Center, San Antonio, Texas.Disclosures:Grants received: S.L. Cohn (Aventis).Corresponding Author: Gerald W. Smetana, MD, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Shapiro 621D, 330 Brookline Avenue, Boston, MA 02215.Current Author Addresses: Dr. Smetana: Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Shapiro 621D, 330 Brookline Avenue, Boston, MA 02215.Dr. Cohn: Division of General Internal Medicine, State University of New York Downstate Medical Center, 470 Clarkson Avenue, Box 68, Brooklyn, NY 11203.Dr. Lawrence: Medicine/General Medicine, University of Texas Health Center, 7703 Floyd Curl Drive, Mail Code 7879, San Antonio, TX 78229-3900. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoUpdate in Perioperative Medicine Paul Casner Update in Perioperative Medicine Stephen A. Hilty Update in Perioperative Medicine Gerald W. Smetana , Steven L. Cohn , and Valerie A. 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Hilty, MDPerioperatives Vorgehen 16 March 2004Volume 140, Issue 6Page: 452-461KeywordsAbdominal surgeryCardiac surgeryDeliriumHemorrhageInsulinMortalityMyocardial infarctionProphylaxisSurgeryVascular surgery ePublished: 16 March 2004 Issue Published: 16 March 2004 Copyright & PermissionsCopyright © 2004 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...