Mayo Clinic Rochester, Division of General Internal Medicine, Rochester, MN.
Mayo Clinic Rochester, Division of General Internal Medicine, Rochester, MN.
Mayo Clin Proc. 2020 Apr;95(4):807-822. doi: 10.1016/j.mayocp.2019.04.029. Epub 2019 Nov 18.
The medical complexity of surgical patients is increasing and medical specialties are frequently asked to assist with the perioperative management surgical patients. Effective pre-anesthetic medical evaluations are a valuable tool in providing high-value, patient-centered surgical care and should systematically address risk assessment and identify areas for risk modification. This review outlines a structured approach to the pre-anesthetic medical evaluation, focusing on the asymptomatic patient. It discusses the evidence supporting the use of perioperative risk calculation tools and focused preoperative testing. We also introduce important key topics that will be explored in greater detail in upcoming reviews in this series.
手术患者的医疗复杂性不断增加，医学专业经常被要求协助围手术期管理手术患者。有效的术前医学评估是提供高价值、以患者为中心的外科护理的宝贵工具，应系统地评估风险并确定风险修正的领域。本综述概述了一种针对术前医学评估的结构化方法，重点关注无症状患者。它讨论了支持使用围手术期风险计算工具和有针对性的术前检查的证据。我们还介绍了一些重要的关键主题，这些主题将在本系列即将发表的评论中更详细地探讨。
