الفهرس 
Preoperative Risk ClassificationOnly 14 pages are availabe for public view
 |  | from | 227 |  |  |
| | | from | 227 | | |
Abstract
INTRODUCTION & AIM OF REVIEW
Continuing efforts are being made to further lower morbidity
and mortality of major surgical procedures including those that
must be performed in patients with cardiovascular disease of
varient severity.
The dramatic results in cardiac surgery should not lull the
physician into a false sense of security that everything will go
well for other surgical procedures without expert preoperative
evaluation and proper intra and postoperative care.
can
It must be remmembered that patients
be stressed to an extreme degree
with cardiac disease
by their noncardiac
surgery, while those under going cardiac surgery may have their
cardiac lesion corrected by surgery.
When a cardiologist is asked to give a preoperative
evaluation of a cardiac patient undergoing noncardiac surgery,
the consultation should be approached with several purposes in
mind.
First, what 1s the patient’s predicted risk of cardiac
complications with surgery, based on the p atient’s history,
physical examination, and investigations; and how can the
physician, the surgeon and the anesthesiologist compare overall
surgical to non surgical risk?
Second, what soecial
postop erative management
minimize risks? including,
necessary m onitoring.
preoperative, intraoperative or early
strategies mi ght be recommended to
drug therapy, anesthetic choice and