Preoperative evaluation for non-cardiac surgery.
Internists are frequently consulted to perform preoperative risk assessments on patient undergoing non-cardiac surgery. Physicians need to assess the cardiac risk associated with the surgery, identify the patient's unique risk profile, recommend appropriate preoperative testing and make suitable recommendations. By a focused history-taking, physical examination, and application of current evidence-based guidelines in cardiac risk assessments, patients at high risk for complications at surgery can be identified and additional work-up suggested. Effective preoperative recommendation includes an assessment of risk (cardiac and non-cardiac), recommendations on medication adjustment, thrombo-embolic prophylaxis, and use of perioperative beta blockers. Prompt communication with the surgeon often enhances the quality of medical consultation and ensures compliance.
Ghosh
A K
AK
Division of General Internal Medicine, Mayo Clinic, College of Medicine, Rochester, Minnesota 55905, USA.
D003955:Diagnostic Tests, Routine; D006331:Heart Diseases / Q000175:diagnosis*; D006801:Humans; D007388:Internal Medicine; D007431:Intraoperative Complications / Q000517:prevention & control*; D008487:Medical History Taking; D010808:Physical Examination; D011292:Premedication; D011300:Preoperative Care / Q000379:methods*; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors