Spell N O
Department of Medicine, Division of General Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Med Clin North Am. 2001 Sep;85(5):1117-28. doi: 10.1016/s0025-7125(05)70367-9.
Medical consultants in the care of patients undergoing surgery have many tasks. One of these is to recommend the safest and most effective use of medication in the perioperative period. The physician must balance the urge to simplify with the need to maintain stability in the patient and his or her chronic diseases. The physician must consider the patient, the particulars of the patient's life, the patient's illnesses, and the patient's desires. At times, the physician can rely on well-supported data for guidance. Much of the time, however, the physician must operate on limited information and hunches about the best advice. Above all, the physician must communicate clearly with the patient, the surgeon, the anesthesiologist, and other members of the medical team to ensure a safe transition through surgery and return to good health.
参与手术患者护理工作的医学顾问有许多任务。其中之一是建议在围手术期最安全、最有效地使用药物。医生必须在简化用药的冲动与维持患者及其慢性病病情稳定的需求之间取得平衡。医生必须考虑患者、患者生活的具体情况、患者的疾病以及患者的意愿。有时，医生可以依靠充分支持的数据来指导。然而，在很多时候，医生必须根据有限的信息和对最佳建议的直觉来行事。最重要的是，医生必须与患者、外科医生、麻醉师及医疗团队的其他成员进行清晰的沟通，以确保手术顺利过渡并恢复健康。
