Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Jan;130(1):38-44.
doi: 10.1002/lary.27845. Epub 2019 Jan 31.

The evidence-based preoperative assessment for the otolaryngologist

Christopher Nickel  1 , Daniel Segarra  2 , Tapan Padhya  1 , Matthew Mifsud  1
Affiliations
Review

The evidence-based preoperative assessment for the otolaryngologist

Christopher Nickel et al. Laryngoscope. 2020 Jan.

Abstract

There is a narrow window of opportunity between surgical scheduling and the operative date to optimize patients for an elective surgical procedure. Traditionally, preoperative care has involved extended routine testing batteries with intermittent referrals for medical clearance. These traditions are costly, inefficient, and yield no clear reduction in perioperative morbidity and mortality. Evidence, which has evolved over the past decade, suggests that optimal preoperative care requires a patient-centric, personalized, and often multidisciplinary approach. We present an up-to-date overview of this literature with a focus on the otolaryngologic surgical population. An algorithmic approach to preoperative patient assessment is also proposed in hopes of both optimizing patient outcome and streamlining routine clinical workflow. Laryngoscope, 130:38-44, 2020.

Keywords: Preoperative assessment; elective surgery; otolaryngology; preoperative medicine.

PubMed Disclaimer

References

BIBLIOGRAPHY

    1. Findley G, Goodwin APL, Protopapa K, Smith NCE, Mason M. Knowing the risk: a review of the peri-operative care of surgical patients. A report by the National Confidential Enquiry into Patient Outcome and Death. Available at: https://www.ncepod.org.uk/2011report2/downloads/POC_fullreport.pdf. Published 2011. Accessed March 1, 2018.
    1. Munro J, Booth A, Nicholl J. Routine preoperative testing: a systematic review of the evidence. Health Technol Assess 1997;1:i-iv; 1-62.
    1. Zambouri A. Preoperative evaluation and preparation for anesthesia and surgery. Hippokratia 2007;11:13-21.
    1. Benarroch-Gampel J, Sheffield KM, Duncan CB, et al. Preoperative laboratory testing in patients undergoing elective, low-risk ambulatory surgery. Ann Surg 2012;256:518-528.
    1. Johansson T, Fritsch G, Flamm M, et al. Effectiveness of non-cardiac preoperative testing in non-cardiac elective surgery: a systematic review. Br J Anaesth 110:926-939.

LinkOut - more resources