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Harrison's Principles of Internal Medicine, 18e
| Part 1. 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:"Cardiovascular and pulmonary complications continue to account for major morbidity and mortality in patients undergoing noncardiac surgery. 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 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 to improve outcome. It also reviews perioperative management and prophylaxis of diabetes mellitus, endocarditis, and venous thromboembolism...."
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