[Internal medicine and cardiovascular evaluation of preoperative and perioperative patients undergoing ophthalmic surgery].
Ophthalmic surgery would a surgical practice with fewer complications compared to other types of surgery. This is only true in part, because of the elderly population of reference. So, in cataract surgery we are faced with a patient with heart disease which carries the signs of aging and degenerative consequences linked to it. The interventions performed in patients with heart disease are still potentially have a greater risk, although site preparation and monitoring during and after surgery in recent years have allowed greater safety for patients and an overall reduction in morbidity and mortality. It is stressed so the importance of a correct clinical diagnosis of the general patient for a better stratification of cardiovascular risk for ophthalmic surgery. It must therefore avoid the most frequent sequelae, such as the ICC, arrhythmias and hypertensive crises. One purpose of a Service of Internal Medicine, like ours, totally dedicated to the functional requirements of the assistance of ophthalmologic patients, both during hospitalization, and in prehospitalization, and especially in Day Hospital and in Day Service, for the cardiac risk stratification in ophthalmic surgery, is to ensure firstly to the patient and then to colleagues ophthalmologist and surgeons and anesthetists the greater security on the plane predictive for reducing perioperative and postoperative morbidity and mortality.
Servizio Dipartimentale di Medicina Interna, DAI Testa Collo, Policlinico Umberto I, Dipartimento Organi di Senso, Università Sapienza Roma, Italia.
M
M
Soldini
D000556:Ambulatory Surgical Procedures; D002318:Cardiovascular Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D015897:Comorbidity; D048909:Diabetes Complications / Q000175:diagnosis; D003935:Diagnostic Techniques, Cardiovascular; D005128:Eye Diseases / Q000453:epidemiology / Q000601:surgery; D006801:Humans; D033183:Interdisciplinary Communication; D007388:Internal Medicine / Q000379:methods* / Q000458:organization & administration; D007431:Intraoperative Complications / Q000517:prevention & control; D013508:Ophthalmologic Surgical Procedures; D019990:Perioperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control; D011300:Preoperative Care / Q000379:methods; D018570:Risk Assessment; D019851:Thrombophilia / Q000188:drug therapy / Q000209:etiology