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The evidence‐based preoperative assessment for the otolaryngologist
Author(s) -
Nickel Christopher,
Segarra Daniel,
Padhya Tapan,
Mifsud Matthew
Publication year - 2020
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.27845
Subject(s) - medicine , otorhinolaryngology , workflow , intensive care medicine , multidisciplinary approach , preoperative care , perioperative , patient care , medical physics , general surgery , medical emergency , surgery , computer science , nursing , social science , sociology , database
There is a narrow window of opportunity between surgical scheduling and the operative date to optimize patients for an elective surgical procedure. Traditionally, preoperative care has involved extended routine testing batteries with intermittent referrals for medical clearance. These traditions are costly, inefficient, and yield no clear reduction in perioperative morbidity and mortality. Evidence, which has evolved over the past decade, suggests that optimal preoperative care requires a patient‐centric, personalized, and often multidisciplinary approach. We present an up‐to‐date overview of this literature with a focus on the otolaryngologic surgical population. An algorithmic approach to preoperative patient assessment is also proposed in hopes of both optimizing patient outcome and streamlining routine clinical workflow. Laryngoscope , 130:38–44, 2020