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Colegio de Medicina Interna de México.

2016, Number 5

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Med Int Mex 2016; 32 (5)

Perioperative assessment with support of information and communication technologies

Palencia-Vizcarra RJ, Palencia-Díaz R

Language: Spanish
References: 33
Page: 551-560
PDF size: 519.42 Kb.


ABSTRACT

The preoperative assessment is the identification of asymptomatic and symptomatic diseases that require preoperative treatment or a change in management or surgical anesthetic in order to reduce perioperative complications with the patient’s knowledge. It also has the specific objective of establishing the doctor-patient relationship, recognition of previous diseases and current surgical illness; on this basis, to develop a plan that will include anesthetic drugs prior to surgery involving treatments against comorbidities and get informed about the risks inherent to the surgical-anesthetic procedure in order to decrease perioperative morbidity and mortality, as well as to understand this assessment of cardiac complications after induction of anesthesia within 30 days after surgery, perioperative prediction methods, cardiac intervention and aftercare. The main approach of this review is how tools of information technology and communication (ITC) help in perioperative assessment, especially the use of smartphones and tablets as support evidence-based information, risk calculators, guides, medication review and recommendations; in decision-making in real time when a physician has to evaluate a patient before a surgical event, making more homogeneous criteria in decision-making among health personnel, reducing errors and using appropriately the resources. This paper also makes an evidence-based review of current information of perioperative evaluation, to improve decision-making and health personnel to provide the best information to the patient in the informed consent.


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