2015, Número 4
<< Anterior Siguiente >>
Rev Clin Esc Med 2015; 5 (4)
TEMA 12-2015: Acercamiento a la valoración preoperatoria integral en Medicina Interna
Quesada ACI
Idioma: Español
Referencias bibliográficas: 64
Paginas: 39-60
Archivo PDF: 806.95 Kb.
RESUMEN
La valoración preoperatoria es siempre un tema
de estudio y discusión en el ámbito de la Medicina
Interna, ya que debido a su condición de integralidad
y globalidad atañe particularmente a
esta rama de la medicina. Tradicionalmente se ha
planteado fundamentalmente como una valoración
de riesgo cardiovascular, sin embargo, va
mucho más allá de esta consideración, pues debe
incluir todos los aspectos funcionales del individuo.
La presente revisión busca conformar una
guía práctica, de consulta rápida, sobre los principales
rubros que constituyen una valoración
preoperatoria, sin pretender ser absoluta ni mucho
menos, exhaustiva. Incluye consideraciones
generales y valoraciones de riesgo por órganos y
sistemas; comentarios puntuales sobre condiciones
médicas específicas y finalmente, algunas
recomendaciones sobre la interconsulta al subespecialista,
según sea el caso.
REFERENCIAS (EN ESTE ARTÍCULO)
Sweitzer B. Preoperative Assessment and Management. Lippincott Williams & Wilkins. 2nd Ed.
Fleisher L Rosenbaum S. Preoperative Medical Consultation. Medical Clinics of North America. 2009;93:965-1121.
Charlson M MacKenzie C Gold J et al. Preoperative characteristics predicting intraoperative hypotension and hypertension among hypertensive and diabetics undergoing non cardiac surgery. Ann Surg 1990;212(1):66-81.
Auerbach A Goldman L. Assessing and Reducing the Cardiac Risk of Non-cardiac Surgery. Circulation 2006;113:1361-1376.
Fleisher L Beckman J Brown K et al. ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Non-cardiac Surgery: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Non-cardiac Surgery). Circulation 2007;116: e418-e500.
Gregoratos G. Current Guideline-Based Preoperative Evaluation Provides the Best Management of Patients Undergoing Noncardiac Surgery. Circulation 2008;117: 3134- 3144.
Brett A. Coronary Assessment Before Noncardiac Surgery: Current Strategies Are Flawed. Circulation 2008;117:3145-3151.
Fleisher L Beckman J Brown K et al. 2009 ACCF/AHA Focused Update on Perioperative Beta Blockade Incorporated Into the ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Non-cardiac Surgery: A Report of the American College of Cardiology Foundation/ American Heart Association Task Force on Practice Guidelines. Circulation 2009;120:e169-e276.
Quesada O. Valoración Preoperatoria: Aspectos Respiratorios. Actualización Médica Periódica www.ampmd.com Oct 2002 Comentario Editorial.
Quesada O. Valoración Médica Preoperatoria: Introducción e Importancia. Actualización Médica Periódica www.ampmd.com May 2002 Artículo de Revisión.
CLF-HSJD. Protocolo oficial de solicitud de HBPM (Enoxaparina). Basado en nota CCF- 2475-09-2010. Setiembre 2010.
Boza R. Guía par el uso de Antibióticos. Editorial C.C.S.S. 2008.
Barash P et al. Clinical Anesthesia 5ª Ed. Editorial Lippincott Williams and Wilkins, Philadelphia, Estados Unidos 2006.
Connery LE Coursin DB. Assessment and therapy of selected endocrine disorders. Anesthesiology Clinics of North America 2004;22:93-123.
Newman M et al. Perioperative Medicine Managing for Outcome. 1a Ed. Editorial SAUNDERS-ELSEVIER, Philadelphia Estados Unidos 2008:639-648.
Stoelting R Dierdorf S. Anestesia y Enfermedad Coexistente 4a Ed. Editorial ELSEVIER España S.A. Madrid-España 2003:411-421.
Task Force on Pre-anesthesic Evaluation. Practice advisory for pre-anesthesia evaluation: A report by the American Society of Anesthesiologists Task Force on Pre-anesthesia Evaluation. Anesthesiology 2012;116:522- 538.
Miller RD. Miller Anesthesia. Sexta edición. Madrid, España, 2005;1019-1023.
Longo D Fauci A Kasper D Hauser S Jameson J Loscalzo J. Harrison´s Principles of Inernal Medicine. Ed Mc Graw Hill, 2012;2968-3002.
Kadoi Y. Anesthetic considerations in diabetic patients. Part I: preoperative considerations of patients with diabetes mellitus. Japanese Society of Anesthesiologists 2010;24:739-747.
Oakley I Emond L. Diabetic Cardiac Autonomic Neuropathy and Anesthetic Management: Review of the Literature. AANA Journal 2011;79(6):473-479.
Robertshaw HJ Hall GM. Diabetes mellitus: anesthetic management. Anesthesia 2006;61:1187–1190.
Joshi G. Society for Ambulatory Anesthesia Consensus Statement on Perioperative Blood Glucose Management in Diabetic Patients Undergoing Ambulatory Surgery. www.anesthesia-analgesia.org December 2010;111(6).
Moitraa VK. The diabetic surgical patient. Anesthesiology 2006;19:339–345.
Vann MA. Perioperative management of ambulatory surgical patients with diabetes mellitus. Anesthesiology 2009;22(6):718- 724.
Kohl B. How to manage perioperative endocrine insufficiency. Anesthesiology Clin 2010;28: 139-144.
Abad A. Ayuno preoperatorio y aspectos farmacológicos de la broncoaspiración. Rev Esp Anestesiol Reanim. 2012. http://dx.doi.org/10.1016/j.redar.2012.09.010
Van Dyck M. Is echocardiography helpful in the pre-anesthesia assessment? Acta Anaesth. Bel. 2008;59:187-194.
Wijeysundera D. Association of echocardiography before major elective non-cardiac surgery with postoperative survival and length of hospital stay: population based cohort study. BMJ. 2011;342.
Practice Advisory for Pre-anesthesia Evaluation. An Updated Report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation. Anesthesiology 2012;116:1–1
Committee on Perioperative Cardiovascular Evaluation for Non-cardiac Surgery. Guidelines for perioperative cardiovascular evaluation for non-cardiac surgery. Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 1996;93:1278-1317.
ACC/AHA Guideline Update for Perioperative Cardiovascular Evaluation for Noncardiac Surgery – Executive Summary. Anesth Analg 2002;94:1052-1064.
The Task Force for Preoperative Cardiac Risk Assessment and Perioperative Cardiac Management in Non-cardiac Surgery of the European Society of Cardiology (ESC) and endorsed by the European Society of Anesthesiology (ESA). Guidelines for preoperative cardiac risk assessment and perioperative cardiac management in noncardiac surgery. European Heart Journal. 2009;30:2769-2812.
ACC/AHA Guideline Update for Perioperative Cardiovascular Evaluation for Noncardiac Surgery: Focused Update on Perioperative Beta-Blocker Therapy. Anesth Analg 2007;104(1):15-26.
Becker D. Preoperative Medical Evaluation: Part 2: Pulmonary, Endocrine, Renal and Miscellaneous Considerations. Anesth Prog 2009;56:135-145.
Schwartz K. How to Manage Perioperative Endocrine Insufficiency. Anesthesiology Clin 2010;28:139-155.
Li-Ng M Kennedy L. Adrenal Insufficiency. Journal of Surgical Oncology 2012;106:595- 599.
Tarazona-Santabalbina FJ. Early interdisciplinary hospital intervention for elderly patients with hip fractures: functional outcome and mortality. Clinics (Sao Paulo) 2012;67(6):547-556.
Norring-Agerskov D. Meta-analysis of risk factors for mortality in patients with hip fracture. Dan Med J 2013;60(8): A4675.
Buecking B Dtsch. Early ortho-geriatric treatment of trauma in the elderly: a systematic review and meta-analysis. Arztebl Int. 2013;110(15):255-262. doi:10.3238/arztebl.2013. 0255. Epub 2013 Apr 12.
Westberg M. Preoperative waiting time increased the risk of periprosthetic infection in patients with femoral neck fracture. Acta Orthopaedica 2013;84(2):124–129.
Hochang B. Predisposing Factors for Post- Operative Delirium After Hip Fracture Repair Among Patients With and Without Dementia. J Am Geriatr Soc. 2011;59(12):2306–2313.
The protocol of the Oslo Orthogeriatrics Trial. The effect of a pre- and post-operative orthogeriatric service on cognitive function in patients with hip fracture. BMC Geriatrics 2012;12:36.
Kearns RJ. A comparison of clinical practice guidelines for proximal femoral fracture. Anesthesia 2013;68:159–166.
Griffiths R. Management of proximal femoral fractures 2011: Association of Anesthetists of Great Britain and Ireland. Anesthesia. 2012;67(1):85-98.
Ip TP Leung J Kung AW. Management of osteoporosis in patients hospitalized for hip fractures. Osteoporos Int. 2010;21(Suppl 4):S605-S614.
Menzies IB. The impact of comorbidity on perioperative outcomes of hip fractures in a geriatric fracture model. Geriatr Orthop Surg Rehabil. 2012;3(3):129-134. doi: 10.1177/21514585124 63392.
Lucas DN Yentis SM. Urgency of Caesarean section: a new classification. JR Soc Med 2000;93:346-350.
The Seventh Report of the Confidential Enquires into Maternal Deaths in the United Kingdom. Confidential enquiry into maternal and child’s health. Saving Mothers’ lives: Reviewing maternal deaths to make motherhood safer 2003-2005. Diciembre 2007.
Williams HO. The Ethical Debate of Maternal Choice and Autonomy in Cesarean Delivery. Clinics in Perinatology. 2008;35:455- 462.
Ross BK. ASA closed claims in obstetrics: lessons learned. Anesthesiology Clin N Am. 2003;21:183-197.
Miller RD. Miller’s Anesthesia. Vol II. 6a Ed. Elsevier 2005.
Kuczkowski M Reisner L Benumof J. Airway problems and new solutions for the obstetric patient. Journal of Clinical Anesthesia. 2003;15:552:563.
Munnur U Suresh M. Airway problems in pregnancy. Crit Care Clin. 2004;20:617-642.
Wickwire J Gross J. From Preop to Posto: Cesarean Delivery From the Anesthesiologist’s Point of View. Clinical Obstetrics and Gynecology 2004;2:299-316.
Chestnut DH. Obstetric anesthesia: principles and practice. 3a Ed. ST Louis (MO) Mosby 2004. Cap. 25: anestesia para la cesarean. Pp. 237-256, 261-268, 412-446 y 532-686.
Gabbe S. Gabbe: Obstetrics: Normal and problem pregnancies. 5a Ed. Elsevier. 2007. Pp. 489-500.
Goldszmidt E. Principles and Practices of Obstetric Airway Management. Anesthesiology Clin. 2008;26:109-125.
Liess B Scheidt T Templer J. The difficult Airway. Otolaryngol Clin N Am. 2008;41:567-580.
Task Force on Obstetric Anesthesia. Practice Guidelines for Obstetric Anesthesia. An Updated Report by the American Society of Anesthesiologists. Anesthesiology 2007;106:843-863.
Contantine MM. Timing of perioperative antibiotics for cesarean delivery: a metanalysis. Am J Obstet Gynecol 2008.
Owens SM. Antimicrobial prophylaxis for cesarean delivery before skin incision. Obstet Gynecol 2009.
Sullivan SA. Administration of cefazolin prior to skin incision is superior to cefazolin at cord clamping in preventing post cesarean infection morbility: a randomized, controlled trial. Am J Obst Gynecol 2007; 196:455.
ACOG. Use of prophylactic antibiotics in labor and delivery. Practice Bulletin. Green Journal. ACOG June 2011