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Harrison's Principles of Internal Medicine, 17e | Part One: Introduction to Clinical Medicine > | Chapter 8. Medical Evaluation of the Surgical Patient Sections: Medical Evaluation of the Surgical Patient: Introduction, Anesthetics, Evaluation of Intermediate- to High-Risk Patients, Further Readings. Topics Discussed: preoperative medical evaluation.
Excerpt:
"Over 40 million persons undergo noncardiac surgical procedures
in the United States annually. Cardiovascular and pulmonary complications
continue to account for major morbidity and mortality in such patients.
Emerging evidence-based practices dictate that the internist should
perform an individualized evaluation of the surgical patient to
provide an accurate preoperative risk assessment and stratification
in order to guide optimum perioperative risk-reduction strategies. This
chapter reviews cardiovascular and pulmonary preoperative risk assessment,
targeting intermediate- and high-risk patients to strategically
guide perioperative therapies in order to improve outcome. It also
reviews perioperative management and prophylaxis of diabetes mellitus, endocarditis,
and venous thromboembolism...."
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