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门诊术前评估:麻醉医生的观点。

Outpatient preoperative assessment: the anaesthetist's view.

作者信息

Holdcroft A

出版信息

Ann R Coll Surg Engl. 1980 Sep;62(5):382-5.

PMID:7436296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2493733/
Abstract

The functions of an outpatient anaesthetic clinic are discussed in relation to the first 100 patients who attended. Preoperative assessment excluded 11 patients who would have been refused anaesthesia for elective operations without further treatment. Six of these required preoperative physiotherapy, 4 antihypertensive therapy, and 1 hospital admission for incipient myocardial infarction. The clinic also played an important role with regard to advice and reassurance of the patient from an experienced anaesthetist, organising suitable admission dates, and detecting anaesthetic and surgical hazards, especially dental caries and obesity, which could be corrected before operation. Two patients developed postoperative complications which could not have been foreseen.

摘要

结合前来就诊的首批100例患者,讨论了门诊麻醉诊所的功能。术前评估排除了11例患者,若不进行进一步治疗,这些患者会被拒绝接受择期手术麻醉。其中6例需要术前物理治疗,4例需要抗高血压治疗,1例因早期心肌梗死需住院治疗。该诊所在以下方面也发挥了重要作用:由经验丰富的麻醉师为患者提供建议和安抚,安排合适的入院日期,以及发现麻醉和手术风险,尤其是龋齿和肥胖,这些问题可在手术前得到纠正。两名患者出现了无法预见的术后并发症。

相似文献

1
Outpatient preoperative assessment: the anaesthetist's view.门诊术前评估:麻醉医生的观点。
Ann R Coll Surg Engl. 1980 Sep;62(5):382-5.
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[Our experiences in the anesthesia outpatient clinic].[我们在麻醉门诊的经验]
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引用本文的文献

1
Orthopaedic audit--review of inpatient waiting lists.骨科审计——住院患者等候名单审查
Br Med J (Clin Res Ed). 1985 Oct 26;291(6503):1216-7. doi: 10.1136/bmj.291.6503.1216.
2
Operations postponed by anaesthetists: a prospective study.麻醉医生推迟的手术:一项前瞻性研究。
Ann R Coll Surg Engl. 1987 Nov;69(6):296-9.

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1
Spirometric studies in normal subjects. I. Forced expirograms in subjects between 7 and 70 years of age.正常受试者的肺量计研究。I. 7至70岁受试者的用力呼气图。
Acta Med Scand. 1963 Feb;173:185-92.
2
Effect of preoperative anaesthetic visit on anxiety.术前麻醉访视对焦虑的影响。
Br Med J. 1977 Oct 15;2(6093):987-9. doi: 10.1136/bmj.2.6093.987.
3
Regression of atheroma.动脉粥样硬化的消退
Br Med J. 1977 Jul 2;2(6078):1-2.
4
I.V. doxapram hydrochloride and pulmonary complications after lower abdominal surgery.
Br J Anaesth. 1977 May;49(5):473-7. doi: 10.1093/bja/49.5.473.