PMID: 9187930Jun 1, 1997Paper

Surgical risk assessment and management in patients with HIV disease

Gastroenterology Clinics of North America
H W Harris, W P Schecter

Abstract

Determining the perioperative risks associated with surgical procedures performed in patients with HIV disease is a difficult and complex task. Because HIV is a contagious, blood-borne pathogen, it threatens the health and well-being of both patient and health care provider. Despite poor early results, there is now convincing evidence that HIV infection is not a significant, independent risk factor for major surgical procedures. In practice, the authors evaluate the risk of surgery in patients with HIV infection using the same basic tools and guidelines applied to the uninfected, with the best predictors of surgical morbidity and mortality stemming from a careful and accurate assessment of the patient's cardiopulmonary, renal, endocrine, and nutritional reserve. Although HIV disease provides a unique constellation of diagnoses and challenges to the health care provider, the risk of major surgery in this population is not unlike that for other immunocompromised or malnourished patients. The authors believe that members of the surgical team have a professional, moral, and ethical responsibility to provide the highest possible quality of care for their patients, regardless of their HIV status. If after weighing the risks and benef...Continue Reading

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Citations

Dec 17, 2003·Journal of Orthopaedic Trauma·David L Greene, Edward Akelman
Mar 13, 2009·World Journal of Surgery·T E MadibaS R Thomson
Apr 6, 2012·Seminars in Pediatric Surgery·Jonty Karpelowsky, Alastair J W Millar
Apr 9, 2016·Asian Journal of Neurosurgery·Jyotsna AgarwalDaljit Singh
Aug 2, 2006·BJU International·William C HuangJames A Eastham
Mar 22, 2016·Asia-Pacific Journal of Clinical Oncology·Wee Loon OngJeremy L Millar
Apr 19, 2011·Journal of Pediatric Surgery·Jonathan Saul KarpelowskyAlastair J W Millar
Feb 14, 2002·JPEN. Journal of Parenteral and Enteral Nutrition·UNKNOWN ASPEN Board of Directors and the Clinical Guidelines Task Force
Mar 6, 2009·Journal of Perioperative Practice·Lisa NelsonKenneth Stewart
Nov 21, 2007·Journal of Perioperative Practice·Lisa NelsonKenneth Stewart
Aug 11, 2021·World Journal of Emergency Surgery : WJES·Federico CoccoliniFausto Catena

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