Key result
Preoperative evaluation for vascular surgery should be adapted to institution-specific circumstances and anticipated procedures to optimize resource use and provide safe anesthesia.
Preoperative evaluation for vascular surgery should be tailored to the patient's comorbidities, institutional circumstances, and anticipated hemodynamic stresses to optimize resource use and safety.
Supports tailored preoperative vascular surgery evaluation by local factors; leaves open prospective validation of optimal protocols.
Patients presenting for vascular surgery frequently have multiple coexisting diseases. To meet the goal of providing a safe anesthetic with optimum resource use, we must ex amine the impact of each of these conditions on the patient and how the data from a particular evaluation or test will impact our anesthetic plan. Existing guidelines may be valu able if adapted to institution-specific circumstances. Con sultants represent a relatively high-cost resource, which can be optimized when used with clear goals in sight. Finally, we may be able to modify our evaluation based on the antici pated procedure, as these patients are exposed to a range of potential hemodynamic stresses.
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Joseph Foss (2000) conducted a review in Vascular surgery. Preoperative evaluation was evaluated. Preoperative evaluation for vascular surgery should be adapted to institution-specific circumstances and anticipated procedures to optimize resource use and provide safe anesthesia.
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