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Assessment and management of patients with psychiatric disorders
1Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Objective:
To review key issues in the preoperative assessment of patients with psychiatric disorders: assessment of cognitive capacity, psychiatric history, capacity to give informed consent, and the impact of psychotropic medications or substances of abuse. We also outline a general approach to the psychiatric patient. Our review focuses on those psychiatric conditions and medications most likely to complicate perioperative care.
Data Source:
Critical studies and expert reviews in the field, as well as the authors' clinical experience in general hospital psychiatry.
Conclusions:
Psychiatric disorders need not unduly complicate perioperative care, but they present certain challenges; a systematic approach as described here will simplify perioperative care of these patients.
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