Perioperative care

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Perioperative care is defined as "interventions to provide care prior to, during, and immediately after surgery."[1]

[edit intro]

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

  1. National Library of Medicine. Perioperative care. Retrieved on 2007-11-21.
  2. 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.
  3. 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]
  4. 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]

See also