Perioperative care: Difference between revisions
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==Benefits of perioperative medical consultation== | ==Benefits of perioperative medical consultation== | ||
The benefits of consultation are not clear in an observational study.<ref name="pmid18039993">{{cite journal |author=Auerbach AD, Rasic MA, Sehgal N, Ide B, Stone B, Maselli J |title=Opportunity missed: medical consultation, resource use, and quality of care of patients undergoing major surgery |journal=Arch. Intern. Med. |volume=167 |issue=21 |pages=2338–44 |year=2007 |pmid=18039993 |doi=10.1001/archinte.167.21.2338}}</ref> | The benefits of consultation are not clear in an observational study.<ref name="pmid18039993">{{cite journal |author=Auerbach AD, Rasic MA, Sehgal N, Ide B, Stone B, Maselli J |title=Opportunity missed: medical consultation, resource use, and quality of care of patients undergoing major surgery |journal=Arch. Intern. Med. |volume=167 |issue=21 |pages=2338–44 |year=2007 |pmid=18039993 |doi=10.1001/archinte.167.21.2338}}</ref> | ||
==Blood transfusions== | |||
Among patients receiving coronary artery bypass grafting, there may be no meaningful difference between transfusing to maintain a hemoglobin levels > 8 g/dL versus a hemoglobin levels > 9 g/dL.<ref name="pmid10532600">{{cite journal |author=Bracey AW, Radovancevic R, Riggs SA, ''et al'' |title=Lowering the hemoglobin threshold for transfusion in coronary artery bypass procedures: effect on patient outcome |journal=Transfusion |volume=39 |issue=10 |pages=1070–7 |year=1999 |pmid=10532600 |doi= |issn=}}</ref> However, hemoglobin levels < 8 g/dL may increase complications.<ref name="pmid12375651">{{cite journal |author=Carson JL, Noveck H, Berlin JA, Gould SA |title=Mortality and morbidity in patients with very low postoperative Hb levels who decline blood transfusion |journal=Transfusion |volume=42 |issue=7 |pages=812–8 |year=2002 |pmid=12375651 |doi= |issn=}}</ref> | |||
==References== | ==References== | ||
Revision as of 17:57, 14 January 2008
Perioperative care is defined as "interventions to provide care prior to, during, and immediately after surgery."[1]
[]
Classification
Intraoperative Care
Postoperative Care
Components of postoperative care may include incentive spirometry.
Benefits of perioperative medical consultation
The benefits of consultation are not clear in an observational study.[2]
Blood transfusions
Among patients receiving coronary artery bypass grafting, there may be no meaningful difference between transfusing to maintain a hemoglobin levels > 8 g/dL versus a hemoglobin levels > 9 g/dL.[3] However, hemoglobin levels < 8 g/dL may increase complications.[4]
References
- ↑ National Library of Medicine. Perioperative care. Retrieved on 2007-11-21.
- ↑ Auerbach AD, Rasic MA, Sehgal N, Ide B, Stone B, Maselli J (2007). "Opportunity missed: medical consultation, resource use, and quality of care of patients undergoing major surgery". Arch. Intern. Med. 167 (21): 2338–44. DOI:10.1001/archinte.167.21.2338. PMID 18039993. Research Blogging.
- ↑ Bracey AW, Radovancevic R, Riggs SA, et al (1999). "Lowering the hemoglobin threshold for transfusion in coronary artery bypass procedures: effect on patient outcome". Transfusion 39 (10): 1070–7. PMID 10532600. [e]
- ↑ Carson JL, Noveck H, Berlin JA, Gould SA (2002). "Mortality and morbidity in patients with very low postoperative Hb levels who decline blood transfusion". Transfusion 42 (7): 812–8. PMID 12375651. [e]