© Springer International Publishing Switzerland 2015
Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_4444. The Postoperative Evaluation
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Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle, WA, USA
Background
Different hospitals have varying models regarding medical consultation. Some medicine consult services predominantly perform preoperative evaluations; others also work in the inpatient setting providing postoperative expertise. This section is for those medical consultants who provide care postoperatively.
Post-anesthesia Care Unit Assessment
Assessing patients in the post anesthesia care unit (PACU) following surgery provides a great opportunity to avert problems and enhance continuity of care.
Chart Review
Pre-op evaluation: Review the patient’s preoperative evaluation.
Surgery: Did the patient receive the surgery that was planned, or were there unanticipated changes or complications?
Check the estimated blood loss (EBL), amount and type of fluids received, and degree of hemodynamic stability intraoperatively—typically found in the anesthesia record or the operating note or directly from communication with the surgery or anesthesia teams.
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