Operations on patients deemed "unfit for operation and anaesthesia": what are the consequences?

Acta Anaesthesiologica Scandinavica
G PrauseJ Smolle

Abstract

The decision "patient unfit for anaesthesia and operation" is likely to cause a delay of the scheduled operation. This retrospective evaluation was done: 1) to determine the correctness of preoperative tentative diagnoses of coexisting diseases making anaesthesia and operation excessively risky in relation to the physician's training status; 2) to examine the question of whether preoperative medical management modified according to the anaesthesiologist's suggestions had a positive impact on the perioperative course. The medical records of patients scheduled for elective non-cardiac surgery who were rated "unfit for operation and anaesthesia" were evaluated. The accuracy of the tentative diagnoses was examined for relation to the training status of the anaesthesiologists. The preoperative management was tested for its impact on postoperative outcome. During the observation period 16,122 patients underwent preoperative anaesthesiological assessment; 1021 (6.3%) were initially considered to be unfit for operation and anaesthesia. The records of 807 patients were available for review. The accuracy of the tentative diagnoses was 70%, and was not significantly affected by the training status of the physicians (P = 0.022). Four hundr...Continue Reading

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Citations

May 24, 2013·Journal of Anesthesia·Tomonori MatsuyamaKohei Kawashima
Aug 12, 2009·The Medical Clinics of North America·David G Silverman, Stanley H Rosenbaum
Nov 28, 2009·Anesthesiology Clinics·David G Silverman, Stanley H Rosenbaum
Jan 31, 2014·Korean journal of anesthesiology·Hyesun PaikHo-Geol Ryu
Dec 15, 2017·Annals of Surgery·Frank M DavisPeter K Henke
Aug 20, 2009·Ecological Applications : a Publication of the Ecological Society of America·Mary J HarnerRobert L Sinsabaugh
Oct 5, 2006·Current Opinion in Anaesthesiology·John B Pollard
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