Abstract
Patients with neurologic disease who require surgery present distinct issues and challenges for the medical consultant. Although it is not possible to offer a unified approach to neurologic patients, the primary care consultant should understand the clinical issues that are common to these patients, and the individual considerations necessitated by the nature of the neurologic disorder and the clinical characteristics of the patient. The preoperative evaluation combines elements of literature evidence on risk assessment with a thorough understanding of the planned procedure and local practice patterns, and clinical judgment as to the estimated risk-benefit ratio. Perioperative management necessitates attention to many general principles of perioperative care, such as awareness of the potential for cardiopulmonary complications and the need for DVT prophylaxis. In addition, there are management issues for neurologic patients, such as blood pressure control and evaluation of hyponatremia, which may differ from other surgical patients. In these circumstances, the interaction of the neurologic condition with the medical condition and the implications of treatment on the underlying neurologic process also need to be considered.
| Original language | English |
|---|---|
| Pages (from-to) | 257-271 |
| Number of pages | 15 |
| Journal | Medical Clinics of North America |
| Volume | 87 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2003 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Surgery in the patient with neurologic disease. / Lefevre, Frank; Woolger, Judi.
In: Medical Clinics of North America, Vol. 87, No. 1, 01.01.2003, p. 257-271.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Surgery in the patient with neurologic disease
AU - Lefevre, Frank
AU - Woolger, Judi
PY - 2003/1/1
Y1 - 2003/1/1
N2 - Patients with neurologic disease who require surgery present distinct issues and challenges for the medical consultant. Although it is not possible to offer a unified approach to neurologic patients, the primary care consultant should understand the clinical issues that are common to these patients, and the individual considerations necessitated by the nature of the neurologic disorder and the clinical characteristics of the patient. The preoperative evaluation combines elements of literature evidence on risk assessment with a thorough understanding of the planned procedure and local practice patterns, and clinical judgment as to the estimated risk-benefit ratio. Perioperative management necessitates attention to many general principles of perioperative care, such as awareness of the potential for cardiopulmonary complications and the need for DVT prophylaxis. In addition, there are management issues for neurologic patients, such as blood pressure control and evaluation of hyponatremia, which may differ from other surgical patients. In these circumstances, the interaction of the neurologic condition with the medical condition and the implications of treatment on the underlying neurologic process also need to be considered.
AB - Patients with neurologic disease who require surgery present distinct issues and challenges for the medical consultant. Although it is not possible to offer a unified approach to neurologic patients, the primary care consultant should understand the clinical issues that are common to these patients, and the individual considerations necessitated by the nature of the neurologic disorder and the clinical characteristics of the patient. The preoperative evaluation combines elements of literature evidence on risk assessment with a thorough understanding of the planned procedure and local practice patterns, and clinical judgment as to the estimated risk-benefit ratio. Perioperative management necessitates attention to many general principles of perioperative care, such as awareness of the potential for cardiopulmonary complications and the need for DVT prophylaxis. In addition, there are management issues for neurologic patients, such as blood pressure control and evaluation of hyponatremia, which may differ from other surgical patients. In these circumstances, the interaction of the neurologic condition with the medical condition and the implications of treatment on the underlying neurologic process also need to be considered.
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UR - http://www.scopus.com/inward/citedby.url?scp=0037261034&partnerID=8YFLogxK
U2 - 10.1016/S0025-7125(02)00156-6
DO - 10.1016/S0025-7125(02)00156-6
M3 - Article
C2 - 12575894
AN - SCOPUS:0037261034
VL - 87
SP - 257
EP - 271
JO - Medical Clinics of North America
JF - Medical Clinics of North America
SN - 0025-7125
IS - 1
ER -