Preoperative screening, evaluation, and optimization of the patient's medical status before outpatient surgery

Current Opinion in Anaesthesiology

Volumn 21, Issue 6, 2008, Pages 711-718

  Sweitzer, Bobbie Jean ^a  

^a UNIVERSITY OF CHICAGO   (United States)

Author keywords

Ambulatory surgery; Anticoagulation; Antiplatelets; Bridging therapy; Cardiac evaluation; Consultation; Coronary stents; Outpatient surgery; Preoperative evaluation; Sleep apnea; Testing

Indexed keywords

ACETYLSALICYLIC ACID; ANTITHROMBOCYTIC AGENT; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; HEPARIN; LOW MOLECULAR WEIGHT HEPARIN; METOPROLOL; PLACEBO; THIENOPYRIDINE DERIVATIVE; WARFARIN;

AIRWAY; ALGORITHM; AMBULATORY SURGERY; ANESTHESIA; BARIATRIC SURGERY; BLEEDING; CARDIOVASCULAR RISK; CLINICAL ASSESSMENT; CLINICAL PRACTICE; CLINICAL TRIAL; COMORBIDITY; COMPUTER ASSISTED TOMOGRAPHY; CONSULTATION; CORONARY ARTERY BYPASS GRAFT; CORONARY STENT; DRUG ELUTING STENT; ECHOCARDIOGRAPHY; ELECTROCARDIOGRAM; EVIDENCE BASED PRACTICE; EXERCISE TEST; HEALTH CARE; HEALTH STATUS; HEART ARREST; HEART ATRIUM FIBRILLATION; HEART CATHETERIZATION; HEART DEATH; HEART FAILURE; HEART FUNCTION; HEART INFARCTION; HOSPITAL COST; HUMAN; INCIDENCE; INTUBATION; ISCHEMIC HEART DISEASE; LABORATORY TEST; LARYNGOSCOPY; MEDICAL PRACTICE; MORTALITY; NUCLEAR MAGNETIC RESONANCE IMAGING; OBESITY; PATIENT CARE; PATIENT SATISFACTION; PERCUTANEOUS CORONARY INTERVENTION; PERIOPERATIVE PERIOD; POLYSOMNOGRAPHY; PRACTICE GUIDELINE; PREGNANCY TEST; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; PULMONARY HYPERTENSION; QUESTIONNAIRE; REVASCULARIZATION; REVIEW; RISK FACTOR; RISK REDUCTION; SLEEP APNEA SYNDROME; STROKE; THROMBOEMBOLISM; TREATMENT OUTCOME; VISUAL ANALOG SCALE;

AIRWAY OBSTRUCTION; ALGORITHMS; AMBULATORY SURGICAL PROCEDURES; ANTICOAGULANTS; CARDIAC SURGICAL PROCEDURES; FEMALE; GUIDELINES AS TOPIC; HUMANS; MALE; PREGNANCY; PREOPERATIVE CARE; RISK ASSESSMENT; SLEEP APNEA SYNDROMES;

EID: 56849098648     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACO.0b013e3283126cf3     Document Type: Review

References (48)

1. Kluger MT, Tham EJ, Coleman NA, et al. Inadequate preoperative evaluation and preparation: a review of 197 reports from the Australian incident monitoring study. Anaesthesia 2000; 55:1173-1178.
2. American Society of Anesthesiologists Task Force on Preanesthesia Evaluation. Practice advisory for preanesthesia evaluation: a report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation. Anesthesiology 2002; 96:485-496.
3. Fleisher LA, Beckman JA, Brown KA, et al. ACC/AHA 2007 guidelines on M perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). J Am Coll Cardiol 2007; 50:e159-e241. Guidelines for cardiac evaluation including recommendations for patients with hypertension, heart failure, valvular disease, cardiomyopathies, arrhythmias, conduction abnormalities, pacemakers and implantable cardioverter-defibrillators.
4. Grines CL, Bonow RO, Casey DE, et al. Prevention of premature discontinuation of dual antiplatelet therapy in patients with coronary artery stents: a science advisory from the American Heart Association, American College of Cardiology, Society for Cardiovascular Angiography and Interventions, American College of Surgeons, and American Dental Association, with representation from the American College of Physicians. J Am Coll Cardiol 2007; 49:734-739. Consensus statement with recommendations for management of perioperative antiplatelet therapies and patients with recent percutaneous coronary interventions with stenting.
5. Lee TH, Marcantonio ER, Mangione CM, et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation 1999; 100:1043-1049.
6. McFalls EO, Ward HB, Mortiz TE, et al. Coronary-artery revascularization before elective major vascular surgery. N Engl J Med 2004; 351:2795-2804.
7. Hueb W, Lopes NH, Gersh BJ, et al. Five-year follow-up of the Medicine, Angioplasty, or Surgery Study (MASS II): a randomized controlled clinical trial of 3 therapeutic strategies for multivesssel coronary artery disease. Circulation 2007; 115:1082-1089.
8. Boden WE, O'Rourke RA, Teo KK, et al. Optimal medical therapy with or without PCI for stable coronary disease. N Engl J Med 2007; 456:1503-1516.
9. Poldermans D, Hoeks SE, Feringa HH. Preoperative risk assessment and risk reduction before surgery. J Am Coll Cardiol 2008; 51:1913-1924. Review of the pros and cons of various preoperative testing and risk-reduction strategies for patients at risk of cardiac complications during noncardiac surgery.
10. Lindenauer PK, Pekow P, Wang K, et al. Perioperative beta-blocker therapy and mortality after major noncardiac surgery. N Engl J Med 2005; 353:349-361.
11. POISE Study Group. Effect of extended-release metoprolol succinate in patients undergoing noncardiac surgery (POISE trial): a randomized controlled trial. Lancet 2008; 371:1839-1847. Randomized controlled trial of high-dose metoprolol vs. placebo in patients having noncardiac surgery.
12. Fleisher LA, Poldermans D. Perioperative beta-blockade: where do we go from here? Lancet 2008; 371:1813-1814. Editorial accompanying publication of the POISE trial outlining the study's design flaws and reviewing the risks and benefits of perioperative β-blockers.
13. van Klei WA, Bryson GL, Yang H, et al. The value of routine preoperative electrocardiography in predicting myocardial infarction after noncardiac surgery. Ann Surg 2007; 246:165-170. Showed that even though bundle branch blocks on preoperative electrocardiograms were associated with postoperative morbidity and mortality there was no added value beyond clinical predictors from the patient history.
14. Lavi R, Lavi S, Daghini E, Lerman LO. New frontiers in the evaluation of cardiac patients for noncardiac surgery. Anesthesiology 2007; 107:1018-1028. A review of available imaging tools to evaluate patients for cardiac disease.
15. Shouten O, van Domburg RT, Bax JJ, et al. Noncardiac surgery after coronary stenting: early surgery and interruption of antiplatelet therapy are associated with an increase in major adverse cardiac events. J Am Coll Cardiol 2007; 49:122-124. Early surgery and antiplatelet discontinuation in patients with bare metal stents having noncardiac surgery was associated with an increase in perioperative cardiac events.
16. Howard-Alpe GM, de Bono J, Hudsmith L, et al. Coronary artery stents and noncardiac surgery. Br J Anaesth 2007; 98:560-574. This review discusses revascularization before noncardiac surgery and different types of stents and examines the evidence for managing patients with stents and the risks or benefits of antiplatelet therapies in the perioperative period.
17. Chassot PG, Delabay A, Spahn DR. Perioperative antiplatelet therapy: the case for continuing therapy in patients at risk of myocardial infarction. Br J Anaesth 2007; 99:316-328. Review article outlining the modest risk of bleeding with continuation of antiplatelet therapies vs. the risk of thrombosis in patients with coronary atherosclerosis or stents.
18. Ferrieri GB, Castiglioni S, Carmagnola D, et al. Oral surgery in patients on anticoagulant treatment without therapy interruption. J Oral Maxillofac Surg 2007; 65:1149-1154.
19. Garcia DA, Regan S, Henault LE, et al. Risk of thromboembolism with short-term interruption of warfarin therapy. Arch Intern Med 2008; 168:63-69. Study showing a low risk of thromboembolism with short-term warfarin stoppage in patients who undergo minor, outpatient procedures.
20. Hammerstingl C, Trip C, Schmidt H, et al. Periprocedural bridging therapy with low-molecular-weight heparin in chronically anticoagulated patients with prosthetic mechanical heart valves: Experience in 116 patients from the prospective BRAVE registry. J Heart Valve Dis 2007; 16:285-292.
21. Dunn AS, Spyropoulos AC, Turpie AG. Bridging therapy in patients on long-term oral anticoagulants who require surgery: the Prospective Perioperative Enoxaparin Cohort Trial (PROSPECT). J Thromb Haemost 2007; 5:2211-2218.
22. Chung F, Yegneswaran B, Liao P, et al. STOP questionnaire. A tool to screen patients for obstructive sleep apnea. Anesthesiology 2008; 108:812-821. This study developed and validated a simple questionnaire consisting of four questions related to snoring, tiredness during the day, observed apnea and high blood pressure (STOP) to screen for sleep apnea in surgical patients.
23. Netzer NC, Stoohs RA, Netzer CM, et al. Using the Berlin questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med 1999; 131:485-491.
24. Gross JB, Bachenberg II, Benumof JL, et al. Practice guidelines for the perioperative management of patients with obstructive sleep apnea; A report by the American Society of Anesthesiologists Task Force on Perioperative Management of Patients with Obstructive Sleep Apnea. Anesthesiology 2006; 104:1081-1093.
25. Chung F, Yegneswaran B, Liao P, et al. Validation of the Berlin questionnaire and the American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients. Anesthesiology 2008; 108:822-830. First study to validate commonly used screening tools for obstructive sleep apnea preoperatively.
26. Hwang D, Shakir N, Limann B, et al. Association of sleep-disordered breathing with postoperative complications. Chest 2008; 133:1128-1134. This study showed that home nocturnal oximetry in patients with clinical features of obstructive sleep apnea is associated with an increased rate of postoperative complications.
27. Mickelson SA. Preoperative and postoperative management of obstructive sleep apnea patients. Otolaryngol Clin N Am 2007; 40:877-889.
28. Montgomery KF, Watkins BM, Ahroni JH, et al. Outpatient laparoscopic adjustable gastric banding in super-obese patients. Obes Surg 2007; 17:711-716.
29. Kuruba R, Koche LS, Murr MM. Preoperative assessment and perioperative care of patients undergoing bariatric surgery. Med Clin N Am 2007; 91:339-351.
30. Catheline JM, Bihan H, Quang TL, et al. Preoperative cardiac and pulmonary assessment in bariatric surgery. Obes Surg 2007; 18:271-277.
31. Lai HC, Lai HC, Wang KY, et al. Severe pulmonary hypertension complicates postoperative outcome of noncardiac surgery. Br J Anaesth 2007; 99:184-190. One of the few studies in the literature to examine the risk of surgery (including minor procedures) in patients with pulmonary hypertension.
32. Qaseem A, Snow V, Fitterman N, et al. Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing non-cardiothoracic surgery: a guideline from the American College of Physicians. Ann Intern Med 2006; 144:575-580.
33. Bapoje SR, Whitaker JF, Schulz T, et al. Preoperative evaluation of the patient with pulmonary disease. Chest 2007; 132:1637-1645. Review of predictors to identify patients at risk for postoperative pulmonary complications and proven risk-reduction strategies.
34. Gonzalez H, Minville V, Delanoue K, et al. The importance of increased neck circumference to intubation difficulties in obese patients. Anesth Analg 2008; 106:1132-1136. Study identifying increased neck circumference (more than 43 cm) along with BMI, thyromental distance and Mallampati score 3 as predictors of difficult intubation.
35. Mashour GA, Stallmer ML, Kheterpal S, Shanks A. Predictors of difficult intubation in patients with cervical spine limitations. J Neurosurg Anesthesiol 2008; 20:110-115.
36. Kahn RL, Stanton MA, Ton-Ngork S, et al. One-year experience with day-of-surgery pregnancy testing before elective orthopedic procedures. Anesth Analg 2008; 106:1127-1131. Report of results of pregnancy testing on the day of surgery in a cohort of patients presenting for orthopedic procedures.
37. Fleisher LA, Pasternak LR, Lyles A. A novel index of elevated risk of inpatient hospital admission immediately following outpatient surgery. Arch Surg 2007; 142:263-268. Using an administrative database this study identified predictors of which individuals were at highest risk for hospital admission immediately following ambulatory surgery.
38. Jain NP, Ogonda L, Trimmings NP. Age as a predictive factor for in-patient admission following day-case shoulder arthroscopic sub-acromial decompression - a district general hospital audit. Ann R Coll Surg Engl 2008; 90:62-64.
39. Psaila J, Agrawal S, Fountain U, et al. Day-surgery laparoscopic cholecystectomy: factors influencing same-day discharge. World J Surg 2008; 32:76-81.
40. Woodfield JC, Pettigrew RA, Plank LD, et al. Accuracy of the surgeons' clinical prediction of perioperative complication using a visual analog scale. World J Surg 2007; 31:1912-1920.
41. Lemmens LC, Kerkkamp HE, van Klei WA, et al. Implementation of outpatient preoperative evaluation clinics: facilitating and limiting factors. Br J Anaesth 2008; 100:645-651. A survey of anesthetists, surgeons, internists and administrators in Dutch hospitals regarding availability and benefits of preoperative anesthesia clinics.
42. Dexter F. Design of appointment systems for preanesthesia evaluaton clinics to minimize patient waiting times: a review of computer simulation and patient survey studies. Anesth Analg 1999; 89:925-931.
43. Edward GM, de Haes JC, Oort FJ, et al. Setting priorities for improving the preoperative assessment clinic: the patients' and the professionals' perspective. Br J Anaesth 2008; 100:322-328.
44. Capuzzo M, Gilli G, Paparella G, et al. Factors predictive of patient satisfaction with anesthesia. Anesth Analg 2007; 105:435-442.
45. Edward GM, Lemaire LC, Preckel B, et al. Patient experiences with the preoperative assessment clinic (PEPAC): validation of an instrument to measure patient experiences. Br J Anaesth 2007; 99:666-672.
46. Edward GM, Das SF, Elkhuizen SG, et al. Simulation to analyse planning difficulties at the preoperative assessment clinic. Br J Anaesth 2008; 100:195-202.
47. Auerbach AD, Rasic MA, Sehgal N, et al. Opportunity missed. Medical consultation, resource use, and quality of care of patients undergoing major surgery. Arch Intern Med 2007; 167:2338-2344. This study failed to show a benefit of medical consultation in surgical patients having major procedures, so it is unlikely such consultation would benefit patients undergoing outpatient surgery.
48. PausJenssen L, Ward HA, Card SE. An internist's role in perioperative medicine: a survey of surgeons' opinions. BMC Family Practice 2008; 9:4-9.