Key result
Preoperative evaluation and targeted perioperative care, along with multidisciplinary communication, are essential for managing medically compromised patients undergoing surgery.
Preoperative evaluation and multidisciplinary communication are essential for optimizing outcomes in medically compromised surgical patients.
Preparing the medically compromised patient for surgery requires identifying and treating preoperative risk factors and anticipating postoperative complications. Preoperative evaluation of all patients should include careful screening for bleeding disorders and prior anesthetic complications and assessment of nutritional status. In addition, patients with preexisting cardiac, pulmonary, and endocrine problems must be identified, since these problems represent the greatest risk factors for postoperative complications. Perioperative care is more effective when directed at specific organ systems. Communication among internists, anesthesiologists, and surgeons promotes optimal treatment for surgical patients with medical illness.
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Elliot et al. (1985) conducted a review in Medically compromised patients preparing for surgery. Preoperative evaluation and perioperative care was evaluated. Preoperative evaluation and targeted perioperative care, along with multidisciplinary communication, are essential for managing medically compromised patients undergoing surgery.
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