Perioperative medication management: general principles and practical applications.
An extensive medication history, including the use of nonprescription agents and herbal products, is the foundation of effective perioperative medication management. Decisions about stopping or continuing medications perioperatively should be based on withdrawal potential, the potential for disease progression if therapy is interrupted, the potential for drug interactions with anesthesia, and the patient's short-term quality of life. In general, medications with withdrawal potential should be continued perioperatively, nonessential medications that increase surgical risk should be discontinued before surgery, and clinical judgment should be exercised in other cases.
Whinney
Christopher
C
Department of Hospital Medicine, Cleveland Clinic, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, , Cleveland, OH 44195, USA. whinnec@ccf.org
D000328:Adult; D000368:Aged; D005260:Female; D029001:Herbal Medicine; D006801:Humans; D008297:Male; D008875:Middle Aged; D004366:Nonprescription Drugs / Q000009:adverse effects*; D019990:Perioperative Care; D011183:Postoperative Complications / Q000139:chemically induced* / Q000209:etiology / Q000517:prevention & control; D011300:Preoperative Care; D055553:Prescription Drugs / Q000009:adverse effects*; D012449:Safety
D004366:Nonprescription Drugs; D055553:Prescription Drugs