Preoperative Assessment of Risk Factors.
Hemostasis is essential during endoscopic sinus and skull base surgery. Patients must be adequately assessed for bleeding risk to appropriately consent to surgery. The patient and the surgeon must be aware of the individual bleeding risk for a given procedure. A thorough history and physical examination is the best screening methodology available to determine whether a patient requires further hematologic work-up. Included in this assessment should be any medications and herbals that the patient consumes. This ensures a safe evaluation of the patient, streamlines appropriate consultation and testing when necessary, and confers accurate surgical risk assessment.
Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Medical Arts Pavilion, 3400 Bainbridge Ave, 3rd Floor, Bronx, NY 10467, USA. Electronic address: atassler@montefiore.org.
Andrew
A
Tassler
Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Medical Arts Pavilion, 3400 Bainbridge Ave, 3rd Floor, Bronx, NY 10467, USA.
Rachel
R
Kaye
D000925:Anticoagulants / Q000494:pharmacology*; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D004724:Endoscopy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D010256:Paranasal Sinuses / Q000601:surgery*; D028321:Plant Preparations / Q000494:pharmacology*; D020379:Risk Adjustment; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D019291:Skull Base / Q000601:surgery*
D000925:Anticoagulants; D028321:Plant Preparations
Anticoagulants; Bleeding risk; Coagulation disorders; Herbal medication; High-risk populations; Preoperative assessment