TIM CARPER - MEDICAL AUDIOBOOK
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peri operative care. The peri operative assessment underlying any decision to perform surgery is a recognition of the balance between the risk of the procedure and the potential benefits to the patient. All patients undergo a preoperative assessment, history, examination and appropriate investigations, both to review the diagnosis and need for surgery and to identify any co existing disease that may increase the likelihood of peri operative complications. In general, any concerns regarding coexisting disease or fitness for surgery should be discussed with the anesthesiologist who makes the final decision regarding fitness for anesthesia. Cardiac disease Ischemic heart disease remains the most important risk factor for patients undergoing surgery. It is vital as a part of a preoperative assessment to identify underlying cardiac disease by history, examination and where appropriate, investigations coagulation disorders Deep vein thrombosis, which may be complicated by a pulmonary embolism, is a significant postoperative risk. Risk factors include previous history of thrombosis, symbolic disease specific from both filic disorders, smoking, obesity, prolonged postoperative immobility, malignancy and drugs such as the combined oral contraceptive pill