Abstract
Patients with complex medical history present as a challenge for office-based procedures. Coexisting illnesses also can complicate the provision of anesthesia in these groups. There are no guidelines directed towards management of these special high-risk groups of patients for office anesthesia. The introductory chapter of this textbook briefly summates the concept of patient safety, goal of medical clearance, and the need, if any, for preoperative testing. Specific system-based chapters of this textbook provide evidence-based guidelines and information on how to optimally manage these medically compromised patients.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
https://www.who.int/news-room/fact-sheets/detail/patient-safety. Accessed 10 May 2020.
https://psnet.ahrq.gov/home. Accessed 10 May 2020.
Mangano DT, Goldman L. Preoperative assessment of patients with known or suspected coronary disease. N Engl J Med. 1995;333(26):1750–6.
Apfelbaum JL, Connis RT, Nickinovich DG, et al. Practice advisory for preanesthesia evaluation: an updated report by the American Society of Anesthesiologists task force on preanesthesia evaluation. Anesthesiology. 2012;116:522–38.
Wijeysundera DN, Austin PC, Beattie WS, Hux JE, Laupacis A. Outcomes and processes of care related to preoperative medical consultation. Arch Intern Med. 2010;170(15):1365–74.
Priebe HJ. Preoperative cardiac management of the patient for non-cardiac surgery: an individualized and evidence-based approach. Br J Anaesthesia. 2011;107(1):83–96.
Eagle KA, Berger PB, Calkins H, et al. ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery—executive summary: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (Committee to update the 1996 guidelines on perioperative cardiovascular evaluation for noncardiac surgery). J Am Coll Cardiol. 2002;39(3):542–53.
https://www.choosingwisely.org/getting-started/resource-library/research-report/. Accessed May 2020.
Institute of Medicine, Committee on the Learning Health Care System in America. In: Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Best care at lower cost: the path to continuously learning health care in America. Washington, DC: National Academies Press (US); 2013.
Roizen MF. More preoperative assessment by physicians and less by laboratory tests. N Engl J Med. 2000;342:204–5.
Schein OD, Katz J, Bass EB, et al. The value of routine preoperative medical testing before cataract surgery. Study of medical testing for cataract surgery. N Engl J Med. 2000;342:168–75.
Smetana GW, Macpherson DS. The case against routine preoperative laboratory testing. Med Clin North Am. 2003;87:7–40.
Benarroch-Gampel J, Sheffield KM, Duncan CB. Preoperative laboratory testing in patients undergoing elective, low-risk ambulatory surgery. Ann Surg. 2012;256(3):518–28.
Sigmund AE, Stevens ER, Blitz JD, Ladapo JA. Use of preoperative testing and physicians’ response to professional society guidance. JAMA Intern Med. 2015;175:1352–9.
Finks JF, Osborne NH, Birkmeyer JD. Trends in hospital volume and operative mortality for high-risk surgery. N Engl J Med. 2011;364:2128–37.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Meara, D.J., Gutta, R. (2022). Introduction. In: Meara, D.J., Gutta, R. (eds) Oral and Maxillofacial Surgery for the Medically Compromised Patient. Springer, Cham. https://doi.org/10.1007/978-3-030-82598-0_1
Download citation
DOI: https://doi.org/10.1007/978-3-030-82598-0_1
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-82597-3
Online ISBN: 978-3-030-82598-0
eBook Packages: MedicineMedicine (R0)