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The Role of the Psychiatrist in the Perioperative Setting

  • Paula C. ZimbreanEmail author
Chapter

Abstract

This chapter provides an overview of the complex interface between psychiatry and surgery. We begin with a brief review of the history of consultation-liaison psychiatry, the psychiatric subspecialty that focuses on the care of patients in the general hospital setting. Subsequently, we illustrate the impact of psychiatric illness upon surgical outcomes and discuss the most common psychiatric presentations occurring in the perioperative setting. Three current main models of psychiatric services in the general hospital are described: the classic “on-demand” consultation model, the proactive consultation model, and the embedded psychiatric services.

Keywords

Consultation-liaison psychiatry Proactive psychiatric consultation Postsurgical posttraumatic stress symptoms Postoperative cognitive impairment 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Psychiatry and Surgery (Transplant)Yale University School of Medicine, Yale UniversityNew HavenUSA

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