Preoperative Evaluation of the Patient With Hypertension

The Construction of a Clinical Audit to Evaluate the Prevalence of Uncontrolled or Untreated Hypertension among an Adult Population Presenting to Pre-assessment Prior to Major Orthopaedic Surgery

“…However, the other n = 4 participants needed intervention: n = 1 participant required alteration to an already prescribed antihypertensive medication; n = 3 participants were required to start treatment as they had newly diagnosed hypertension, seeing that n = 2 of these participants' surgeries were delayed as the operation date was too close to them starting medication. This was as per the Trust anaesthetist's advice and in line with research recommendations from Fleisher [2002] and Eagle et al [2002], whereby the commencement or alteration to antihypertensive medication is required to take place 4 weeks prior to an elective major operation.…”

“…Admission arterial pressure is a useful screening test to identify patients at risk of pre-operative myocardial ischaemia [Allman et al, 1994], and within the audit n = 6 participants were identified as newly diagnosed hypertensives all requiring commencement of treatment with antihypertensive medication. n = 6 newly diagnosed hypertensive participants over a 6-week period by 1 ANP out of 5 is a significant finding and is supported by Fleisher [2002] who identified POA as a unique opportunity to identify untreated hypertension and minimise on-the-day cancellations. POAC have reduced the chances of all participants who were referred to the GP and who were found to have uncontrolled or untreated hypertension risk of being cancelled on the day of surgery [Kerridge et al, 1995;Knox et al, 2009].…”

Risk Factors Associated with in Hospital Complication Post Gastrointestinal, Pancreatic, Hepatic Cancer Surgery: A Retrospective Case Control Study (RAPHA Study)

“…As shown in previous studies, age itself is an independent risk factor in the development of complications post operatively. 13 In this study, age more than or equal to 75 years is at higher risk for morbidity representing 21% of all patients who developed complications. the post-operative status of GI cancer patients.…”

Risk Reduction and Perioperative Complications in Patients With Diabetes and Multiple Medical Comorbidities Undergoing Charcot Foot Reconstruction

“…18,23,24 The next logical step was the appreciation that medical optimization of specific disease markers had the ability to further improve patient outcomes. 5,8,10,12,14,21,27 Working in parallel, both the ACS and the AAOS developed programs to assist their member surgeons in implementing this methodology. 1,2 The ACS developed the NSQIP database with the goal of data-directed improvement in patient care.…”