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Perioperative medication management.

Donna L Mercado1, Brent G Petty

  • 1Medical Consultation Program, Baystate Medical Center, Tufts University School of Medicine, 759 Chestnut Street, Springfield, MA 01199, USA. donna.mercado@BHS.org

The Medical Clinics of North America
|February 11, 2003
PubMed
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Perioperative medication management requires careful consideration due to limited evidence. This article offers guidance on drug use during surgery, focusing on pharmacokinetics, disease impact, and anesthetic interactions.

Area of Science:

  • Anesthesiology
  • Pharmacology
  • Perioperative Medicine

Background:

  • Consultants advise on perioperative medication use.
  • Evidence-based recommendations are often lacking.
  • Managing medications around surgery is complex.

Purpose of the Study:

  • Provide guidance for perioperative medication management.
  • Address the lack of sufficient evidence in this field.
  • Integrate pharmacokinetic and risk-benefit analyses.

Main Methods:

  • Consider drug pharmacokinetics.
  • Evaluate the impact of medication cessation on the primary disease.
  • Assess medication effects on perioperative risk.
  • Analyze potential drug interactions with anesthetic agents.

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Main Results:

  • Offers a framework for decision-making in perioperative medication management.
  • Highlights key factors: pharmacokinetics, disease impact, and anesthetic interactions.
  • Provides practical advice for clinicians facing medication management dilemmas.

Conclusions:

  • Perioperative medication management necessitates a comprehensive approach.
  • Integrating pharmacokinetic data and risk assessment improves patient safety.
  • This guidance aids consultants in making informed recommendations.