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By J. McCann

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Extra info for Critical Care Challenges - Disorders, Treatments, Procedures

Example text

A significant number of these complications are preventable by a careful preoperative risk evaluation and optimization of certain comorbid conditions prior to surgery. The following is a brief overview of the various postoperative medical complications the hospitalist is likely to encounter. Our goal is to highlight the most common and important complications. 1, a contemporary classification system has been developed for gradation of severity of postoperative complications to compare quality of care across different hospitals [3].

Improved survival in acute kidney injury after cardiac surgery. Am J Kidney Dis. 2007;50(5):703–11. Chapter 2 Serious Perioperative Complications: Hospital Medicine Perspectives Steven Deitelzweig and Lakshmi Narasimha Prasad Ravipati Objectives • To recognize potential perioperative medical complications • To identify patients at risk of perioperative complications • To understand preventive perioperative care Introduction In the present health-care delivery system, patients who are admitted to hospitals with surgical problems are comanaged by hospitalists [1] and their surgical colleagues, along with the assistance of subspecialists.

It is suggested that clinicians caring for patients who are at risk of delirium look for signs and symptoms of delirium by incorporating bedside delirium evaluation tools in their daily assessments as delirium is often underdiagnosed. Surgery can create anxiety among patients that can affect blood pressure and heart rate in the perioperative period, particularly on the day of surgery. Preexisting psychiatric illnesses including anxiety and depression are likely to identify patients at risk of poor outcomes after surgery [22].

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