RT Book, Section
A1 Cheng, Hugo Q.
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
A2 McQuaid, Kenneth R.
SR Print(0)
ID 1184156118
T1 Preoperative Evaluation of the Asymptomatic Patient
T2 Current Medical Diagnosis & Treatment 2022
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781264269389
LK accessmedicine.mhmedical.com/content.aspx?aid=1184156118
RD 2024/04/20
AB Patients  without  significant  medical  problems—especially  those  under  age  50—are  at  very  low  risk  for  perioperative  complications.  Their  preoperative  evaluation  should  include  a  history  and  physical  examination;  emphasis  should  be  on  a  pharmacologic  history  and  assessment  of  functional  status,  exercise  tolerance,  and  cardiopulmonary  status  to  look  for  unrecognized  disease  that  may  require  further  evaluation  prior  to  surgery.  In  addition,  a  directed  bleeding  history  (Table  3–1)  should  be  taken  to  uncover  coagulopathy  that  could  contribute  to  excessive  surgical  blood  loss.  Routine  preoperative  laboratory  tests  in  asymptomatic  healthy  patients  under  age  50  have  not  been  found  to  help  predict  or  prevent  complications.  Even  elderly  patients  undergoing  minor  or  minimally  invasive  procedures  (such  as  cataract  surgery)  are  unlikely  to  benefit  from  preoperative  screening  tests.