Preoperative assessment.
Although anaesthetic and surgical procedures should be individualised for every patient, in practice many preoperative protocols and routines are used generally. In this article, we aim to emphasise: why preoperative assessment is important; how it should be done, and by whom; what can be expected;...
| Published in: | Lancet Vol. 362; no. 9397; pp. 1749 - 1758 |
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| Main Authors: | , , , , , |
| Format: | questionnaire/scale review tables/charts Journal Article |
| Published: |
Lancet
11/22/2003
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106578500&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106578500 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01406736 LAN jtl: Lancet issn: 01406736 maglogo: N pubinfo: dt: 11/22/2003 vid: 362 iid: 9397 pid: 1297 pub: Lancet place: Philadelphia, Pennsylvania artinfo: ui: 106578500 106578500 NLM14643127 2005034148 10.1016/s0140-6736(03)14857-x NLM14643127 106578500 ppf: 1749 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Preoperative assessment. aug: au: García-Miguel FJ Serrano-Aguilar PG López-Bastida J García-Miguel, F J Serrano-Aguilar, P G López-Bastida, J affil: Department of Anaesthesiology and Reanimation, Hospital General de Segovia, Segovia, Spain sug: subj: Anesthesiologists Physician's Role Preoperative Care Standards Anesthesia Methods Cost Savings Interviews Methods Physical Examination Preoperative Care Economics Preoperative Care Methods Preprocedural Fasting Risk Assessment Methods Risk Assessment Standards ab: Although anaesthetic and surgical procedures should be individualised for every patient, in practice many preoperative protocols and routines are used generally. In this article, we aim to emphasise: why preoperative assessment is important; how it should be done, and by whom; what can be expected; and the importance of test selection based on patients' needs and on scientific evidence of effectiveness. We outline the roles of preoperative medical assessment in otherwise healthy patients. Clinical history, preoperative questionnaires, physical examination, routine tests, individual risk-assessment, and fasting policies are investigated by review of published work. Cost of routine preoperative assessment, the anaesthetist's legal responsibility, and patients'views in the preoperative process are also considered. A thorough clinical preoperative assessment of the patient is more important than routine preoperative tests, which should be requested only when justified by clinical indications. Moreover, this practice eliminates unnecessary cost without compromising the safety and quality of care. Education and training of medical doctors should be more scientifically guided, emphasising the relevance of effectiveness, and cost-effectiveness in clinical decision-making and complemented by audit. pubtype: Academic Journal doctype: questionnaire/scale review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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