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Updated: Jun 19, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Perioperative medication management: general principles and practical applications.

Christopher Whinney¹

¹Department of Hospital Medicine, Cleveland Clinic, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, , Cleveland, OH 44195, USA. whinnec@ccf.org

Cleveland Clinic Journal of Medicine

|November 3, 2009

Summary

Effective perioperative medication management requires a thorough medication history. Key decisions on continuing or stopping drugs involve assessing withdrawal risks, disease progression, drug interactions, and patient quality of life.

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Last Updated: Jun 19, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Area of Science:

Anesthesiology
Pharmacology
Perioperative Medicine

Background:

Comprehensive medication history is crucial for safe perioperative medication management.
Includes prescription, nonprescription, and herbal products.
Informed decisions require evaluating multiple patient-specific factors.

Observation:

Perioperative medication management involves complex decision-making.
Factors influencing decisions include withdrawal potential, disease progression, drug interactions, and quality of life.
General guidelines exist for managing medications around the time of surgery.

Findings:

Medications with significant withdrawal potential should generally be continued.
Nonessential medications increasing surgical risk should be discontinued before surgery.
Clinical judgment is paramount in managing other medications.

Implications:

Optimizing perioperative medication management enhances patient safety.
Tailored medication strategies minimize risks associated with surgery and anesthesia.
This approach supports better patient outcomes and quality of life during the perioperative period.