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[Trial of preoperative consultation in outpatient clinic at a medium sized hospital]
1Department of Anesthesiology, Tachibanadai Hospital, Yokohama 227-0046.
Background:
Sometimes surgery is cancelled due to insufficiency of preoperative risk management by consultation of anesthesiologist on the day before surgery. We reported achievement of preoperative consultation in outpatient clinic at a medium sized hospital for three years.
Methods:
Reservation to our clinic was performed by surgeons, when they judged that early consultation by anesthesiologist was needed by various reasons, for example severe complications and problem of past anesthesia.
Results:
Among 737 surgical patients, 49 patients (6.6%) were consulted in our clinic and surgery was cancelled in 8 patients (16.3%). Among 688 patients who were not consulted in our clinic, we judged that early consultation was needed in 12 patients (1.7%) and surgery was cancelled in 2 patients.
Conclusions:
As preoperative consultation in outpatient clinic became appreciated, no patient was cancelled on the day before surgery. Moreover, our trial of preoperative consultation in outpatient clinic contributed to establishment of good relationship of anesthesiologists with surgeons and patients.
