Cassidy J, Marley R A
J Perianesth Nurs. 1996 Oct;11(5):334-43. doi: 10.1016/s1089-9472(96)90091-x.
Whenever the human body is subjected to anesthesia and an invasive surgical procedure, the potential for complications exists. A goal of perioperative care is to minimize that risk while providing the safest care available for the patient. Initial steps toward accomplishing this goal include (1) conducting a thorough preoperative assessment of the patient's medical, surgical, and anesthetic history; (2) performing a physical examination; and (3) procuring and interpreting the results of necessary diagnostic procedures and laboratory evaluations. The increased use of ambulatory surgical services, coupled with changes in health care economics, dictates reform in patient evaluation before surgery. The evaluative process must be cost-effective and efficient without compromising reliability. This article familiarizes and updates the perianesthesia nurse on management issues for the surgical patient.
每当人体接受麻醉和侵入性外科手术时，都存在发生并发症的可能性。围手术期护理的一个目标是在为患者提供最安全护理的同时，将该风险降至最低。实现这一目标的初步措施包括：（1）对患者的病史、手术史和麻醉史进行全面的术前评估；（2）进行体格检查；（3）获取并解读必要的诊断程序和实验室检查结果。门诊手术服务的使用增加，再加上医疗保健经济学的变化，要求对手术前的患者评估进行改革。评估过程必须具有成本效益且高效，同时不影响可靠性。本文旨在使围麻醉期护士熟悉并更新有关手术患者管理问题的知识。
