Skip to main content

Preoperative Evaluation of the Noncardiac Surgical Patient

Andrew Grimes, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Preoperative medical evaluation should determine the presence of established or unrecognized disease or other factors that may increase the risk of perioperative morbidity and mortal...

DIAGNOSIS

HISTORY

  • Evaluate pertinent medical records and interview the patient. Many institutions provide standard patient questionnaires that screen for preoperative risk factors:

    • History of present il...

TREATMENT

MEDICATION

  • Reducing cardiac risk

    • Elective surgery should be delayed or cancelled if the patient has any of the following: unstable coronary syndromes (unstable or severe angina), recent MI (...

REFERENCES

1
Fleisher LA, Fleischmann KE, Auerbach AD ,et al. 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summa...

SEE ALSO

Algorithm: Preoperative Evaluation of Noncardiac Surgical Patient 

CODES

ICD10

  • Z01.818 Encounter for other preprocedural examination

  • Z01.811 Encounter for preprocedural respiratory examination

  • Z01.812 Encounter for preprocedural laboratory examination

SNOMED

  • 133898004 Pre...

CLINICAL PEARLS

  • The preoperative evaluation should include medical record evaluation, patient interview, and physical exam.

  • Functional capacity, the level of surgical risk, and clinical risk factors de...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×