Preoperative Consultations

Abstract

Preoperative consultation is an important intervention that likely has most benefits for intermediate-risk to high-risk patients undergoing major surgery. Consultation rates are likely increasing and there is significant practice variation in the use of consultation. Consultations should be available within a well-organized and coordinated process of preoperative assessment. Preoperative consults should be accessible to anesthesia and surgical teams involved in the procedure and to the providers involved in postoperative care. The role of preoperative consultation should evolve as a rational approach and emerge as a value-based service. New payment methodologies are likely to facilitate appropriate use of this important resource.

Preoperative Anesthesiology Consult Utilization in Ontario -- A Population-Based Study

“…There are currently no guidelines recommending appropriate use of anesthesia consultation, and there appears to be significant practice variation 3,7 . Wijeysundera et.…”

“…Overall, there appears to be a trend towards increasing use of anesthesia consultation, even amongst patients undergoing low risk surgeries, which potentially could result in inefficient use of health care resources 9 . Presumably, higher risk patients undergoing more invasive surgeries will get the most benefit from preoperative consultation 3,7 . Similarly, there are no specific guidelines for which patients can benefit from an internal medicine consultation prior to surgery 10 .…”

Evaluation of The Chest Diseases Consultation That Are Requested From Surgical Branches

“…Günümüzde uzmanlık sayısı giderek artmaktadır ve hastaya bütüncül yaklaşabilmek için de birden fazla hekimin birlikte çalışması kaçınılmazdır. Bu nedenle istenen konsultasyon sayıları giderek artmaktadır ve göğüs hastalıkları diğer bölümlerden en fazla konsultasyon istenen bölümler arasındadır (2,3). Konultasyon isteyen hekimin, hasta hakkında bilgi vermesi ve ne konuda yardım istediğini açıkça belirtmesi gerekmektedir.…”

Preoperative anesthesiology consult utilization in Ontario – a population‐based study

“…9 Presumably, higher risk patients undergoing more invasive surgeries will get the most benefit from preoperative consultation. 3,7 Similarly, there are no specific guidelines for which patients can benefit from an internal medicine consultation prior to surgery. 10 In the current climate of limited resources and focus on valuebased healthcare, the authors sought to obtain information regarding current and historical usage of preoperative anaesthesia consults.…”