TY  - CHAP
M1  - Book, Section
TI  - Chapter 9. Preoperative Evaluation for Cardiac Surgery
A1  - Ruff, Christian T.
A1  - O'Gara, Patrick T.
A2  - Cohn, Lawrence H.
PY  - 2012
T2  - Cardiac Surgery in the Adult, 4e
AB  - Improved  outcomes  and  advances  in  surgical  techniques  have  enabled  the  application  of  cardiac  surgery  in  patient  populations  previously  considered  ineligible  for  an  intervention  of  this  magnitude.  During  the  previous  decade,  the  in-hospital  mortality  rate  for  coronary  artery  bypass  surgery  (CABG),  the  most  common  surgical  procedure  in  the  world,  declined  from  2.8  to  1.6%  (43%  relative  reduction)  despite  an  older  and  sicker  patient  population.1,2  Thorough  preoperative  risk  assessment  by  the  medical  and  surgical  team  is  of  critical  importance  in  minimizing  perioperative  and  long-term  morbidity  and  mortality.  It  also  enables  physicians  to  counsel  patients  and  families  on  what  they  can  expect  postoperatively,  thus  allowing  them  to  make  informed  decisions  regarding  the  treatment  options  available  to  them.  This  chapter  reviews  the  essential  information  that  the  cardiologist  and  surgeon  must  collect  and  review  to  evaluate  a  patient  for  cardiac  surgery.  This  information  includes  patient  and  disease  characteristics,  medications,  and  surgical  considerations  that  can  be  integrated  into  scoring  systems  to  provide  a  semiquantitative  risk  assessment  (Table  9-1).  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=55912679
ER  -