Overview of the principles of medical consultation and perioperative medicine
- Steven L Cohn, MD, FACP, SFHM
Steven L Cohn, MD, FACP, SFHM
- Professor of Clinical Medicine
- University of Miami Miller School of Medicine
Internists are often asked to evaluate a patient prior to surgery. The medical consultant may be seeing the patient at the request of the surgeon, or may be the primary care clinician assessing the patient prior to consideration of a surgical referral. The goals of this evaluation are to determine the risk to the patient of the proposed procedure and to minimize known risks. These goals are achieved by the following:
●Identifying unrecognized comorbid disease and risk factors for medical complications of surgery
●Optimizing the preoperative medical condition
●Recognizing and treating potential complications
●Working effectively as a member of the preoperative team (including surgical and anesthesia colleagues)To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- EFFECT ON SURGICAL OUTCOMES
- GENERAL PRINCIPLES
- Needs of the requesting physician
- - Reasons for consultation
- - Implications of clearing a patient
- Performing the consultation
- - Avoiding anesthetic recommendations
- - Avoiding issues not related to the procedure
- - Discussion with the patient
- COMPLIANCE WITH CONSULTANT RECOMMENDATIONS
- Role of hospitalists
- INFORMATION FOR PATIENTS