An internist's role in perioperative medicine: a survey of surgeons' opinions.

BMC Family Practice
Lisa PausjenssenSharon E Card

Abstract

Literature exists regarding the perioperative role of internists. Internists rely on this literature assuming it meets the needs of surgeons without actually knowing their perspective. We sought to understand why surgeons ask for preoperative consultations and their view on the internist's role in perioperative medicine. Survey of surgeons in Saskatoon, Saskatchewan, Canada regarding an internist's potential role in perioperative care. Fifty-nine percent responded. The majority request a preoperative consultation for a difficult case (83%) or specific problem (81%). While almost half feel that a preoperative consultation is to "clear" a patient for surgery, 33% disagree with this statement. The majority believe the internist should discuss risk with the patient. Aspects of the preoperative consultation deemed most important are cardiac medication optimization (93%), cardiac risk stratification (83%), addition of beta-blockers (76%), and diabetes management (74%). Surgeons perceive the most important roles for the internist as cardiac risk stratification and medication management. Areas of controversy identified amongst the surgeons included who should inform the patient of their operative risk, and whether the internist should ...Continue Reading

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Citations

Apr 26, 2014·Acta Clinica Belgica·M Raes, J Poelaert
Mar 19, 2013·Anesthesiology·Stephan R ThilenMiriam M Treggiari
Nov 2, 2017·Perioperative Medicine·Kevin R RiggsGeetanjali Chander
Feb 1, 2016·Future Hospital Journal·Philip BraudeJugdeep K Dhesi
Feb 1, 2011·Continuum : Lifelong Learning in Neurology·Steven L Lewis
May 15, 2018·Perioperative Medicine·Stephan R ThilenMiriam M Treggiari
Jan 21, 2021·BMC Geriatrics·Janani ThillainadesanVasi Naganathan
Apr 28, 2021·Internal and Emergency Medicine·Sagi ShasharTai Friesem

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