TY - CHAP M1 - Book, Section TI - Preoperative Assessment of the High-Risk Surgical Patient A1 - Chen, Robert A1 - Ali, Jameel A2 - Hall, Jesse B. A2 - Schmidt, Gregory A. A2 - Kress, John P. Y1 - 2015 N1 - T2 - Principles of Critical Care, 4e AB - Perioperative risk assessment by careful history, physical examination, and selective investigation is essential for directing therapy in the high-risk surgical patient.To decrease mortality and morbidity, major medical illnesses must be identified and appropriately managed.Delirium is a common postoperative complication that can be anticipated given risk factors.Perioperative cardiac morbidity can be minimized with preemptive medical management which includes the perioperative administration of β-blockers in very select patients.Postoperative pulmonary complications can be reduced by aggressive pre- and postoperative care.Diabetes mellitus and steroid dependence must be completely managed to significantly influence perioperative morbidity and mortality. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1107712334 ER -