Perioperative medicine is an essential component of clinical training for internal medicine residents. A systematic approach to evaluating and managing a patient’s risk of surgery is the focus of this course. This site is a repository of background material for UAB internal medicine residents to review prior to Thursday morning in-depth, case-based discussions on perioperative management. Material is presented in multiple learner-centered formats. Evidence will be presented following the Haynes 6S hierarchy of evidence, focusing on evidence at the top of the pyramid.
After completion of this material you will be able to:
- Assess and manage an individual patient’s cardiac risk in the perioperative period,
- Assess and manage an individual patient’s pulmonary risk in the perioperative period,
- Manage endocrine disorders in the perioperative period,
- Reduce thromboembolic risk and manage antithrombotic therapy in the perioperative period,
- Diagnose and manage common electrolyte disorders encountered in the perioperative period, and
- Manage patients with common medical problems (e.g. renal disease, hepatobiliary disease) during the perioperative period.
Effective communication is an important skill of any consultant. An effective preoperative consultation ensures the patient is as ready as they can be for surgery and promotes optimal perioperative care for the patient. This article describes what anesthesiologists want in a perioperative consultation note. In this article researchers surveyed physicians to learn what their preferences were for elements of an ideal inpatient medical consultation. Both give important insights into what elements should be contained in your perioperative medical consultation notes.
For those of you doing a general medicine consult at the VA please review What_Every_VA_Resident_Needs_to_Know_About_Consults_20150616 .
According to the Society of Hospital Medicine, co-management can be defined as the shared responsibility, authority and accountability for the care of a hospitalized patient. The patient’s surgeon manages the surgery related treatments and a hospitalist or general internist manages the patient’s medical conditions.
This video provides an overview of the principles of co-management. (Note: you may have to register for free access)