By the end of postgraduate training, using a patient-centred approach and appropriate selectivity, a resident, considering the patient’s cultural and gender contexts, will be able to...
The point of preoperative assessment is to look for risk factors that increase a patient’s risk of complications associated with surgery. After assessment, the clinician then attempts to reduce or eliminate, when possible, identified risks. This essentially involves optimising chronic disease management and identifying and mitigating other previously unrecognized risk factors. Along with attempting to reduce risk, it is also important to recognize and convey to patients that no matter how much risk can be reduced prior to surgery, it can never be entirely eliminated. There are always risks associated with surgery, although with comprehensive preoperative care, it is believed that these risks can be significantly reduced. In my last post I outlined a basic approach to preoperative assessment. Here I will review some key perioperative management strategies for common medical problems that may affect surgical care.
Perioperative medication recommendations (general rules of thumbs, always unless otherwise indicated)
*See UpToDate article, Perioperative medication management for further details