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2004, Number S1

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Rev Mex Anest 2004; 27 (S1)

Anesthetic implications of diabetes

Roizen MF

Language: English
References: 66
Page: 9-18
PDF size: 112.09 Kb.


Text Extraction

INTRODUCTION

Patients undergoing surgery move through a continuum of medical care to which a primary care physician, an internist or pediatrician, an anesthesiologist, and a surgeon or radiologist or obstetrician-gynecologist contribute to ensure the best outcome possible. No aspect of medical care requires greater cooperation among physicians than does the performance of a surgical operation or complex procedure involving multiple specialists and the perioperative care of a patient. The importance of integrating physicians' expertise is even greater within the context of the increasing life span of our population. As the number of the elderly and the very old (those › 85 years of age) grows, so does the need of surgical patients for preoperative consultation that helps plan for comorbidity and multiple drug regimens, knowledge of which is crucial to successful patient management. At a time when medical information is encyclopedic, it is difficult if not impossible for even the most conscientious anesthesiologist to keep abreast of the medical issues relevant to every aspect of perioperative or periprocedure patient management. This chapter reviews such issues.


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