The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Role of Hospital Medicine in Perioperative Patients: Surgery 101

수술 전후 환자를 진료하는 내과입원전담전문의를 위한 기초 외과학

  • Han Sung Lee (Division of General Internal Medicine, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine) ;
  • Sung Woo Moon (Division of General Internal Medicine, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine)
  • 이한성 (연세대학교 의과대학 세브란스병원 통합내과) ;
  • 문성우 (연세대학교 의과대학 세브란스병원 통합내과)
  • Received : 2023.10.17
  • 심사 : 2023.12.11
  • 발행 : 2024.08.01
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초록

Due to their increasing role, many hospitalists will in the future encounter perioperative patients, either through surgical co-management or when an admitted patient requires surgery. If given the responsibility, hospitalists should focus not only on assessing and addressing daily acute issues related to medical comorbidities, but also possess basic knowledge of the typical physiological responses after surgery, prediction, evaluation, and management of perioperative bleeding, and identification of postoperative complications. Understanding these topics may help mitigate complications and improve the management of perioperative patients.

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과제정보

Many thanks to Doctor TL Kim for her input on this review article. Her passion towards patient care constantly keeps motivating us.

참고문헌

  1. McKean SC, Ross JJ, Dressler DD, Scheurer D. Principles and practice of hospital medicine. 2nd ed. New York: McGrawHill Education, 2017.
  2. Finnerty CC, Mabvuure NT, Ali A, Kozar RA, Herndon DN. The surgically induced stress response. JPEN J Parenter Enteral Nutr 2013;37 Suppl 5:21S-29S.
  3. Markanday A. Acute phase reactants in infections: evidencebased review and a guide for clinicians. Open Forum Infect Dis 2015;2:ofv098.
  4. Morgan TJ. The ideal crystalloid - what is 'balanced'? Curr Opin Crit Care 2013;19:299-307.
  5. Gowrishankar M, Lin SH, Mallie JP, Oh MS, Halperin ML. Acute hyponatremia in the perioperative period: insights into its pathophysiology and recommendations for management. Clin Nephrol 1998;50:352-360.
  6. Rose BD, Post TW. Clinical physiology of acid-base and electrolyte disorders. 5th ed. New York: McGraw-Hill, 2001:836.
  7. Hammond KL, Margolin DA. Surgical hemorrhage, damage control, and the abdominal compartment syndrome. Clin Colon Rectal Surg 2006;19:188-194.
  8. Bougle A, Harrois A, Duranteau J. Resuscitative strategies in traumatic hemorrhagic shock. Ann Intensive Care 2013;3:1.
  9. Hunt BJ. Bleeding and coagulopathies in critical care. N Engl J Med 2014;370:847-859.
  10. Levy JH, Faraoni D, Spring JL, Douketis JD, Samama CM. Managing new oral anticoagulants in the perioperative and intensive care unit setting. Anesthesiology 2013;118:1466-1474.
  11. Psaty BM, Koepsell TD, Wagner EH, LoGerfo JP, Inui TS. The relative risk of incident coronary heart disease associated with recently stopping the use of beta-blockers. JAMA 1990;263:1653-1657.
  12. Guldner A, Pelosi P, de Abreu MG. Nonventilatory strategies to prevent postoperative pulmonary complications. Curr Opin Anaesthesiol 2013;26:141-151.
  13. Crompton JG, Crompton PD, Matzinger P. Does atelectasis cause fever after surgery? putting a damper on dogma. JAMA Surg 2019;154:375-376.
  14. Ridderstolpe L, Gill H, Granfeldt H, Ahlfeldt H, Rutberg H. Superficial and deep sternal wound complications: incidence, risk factors and mortality. Eur J Cardiothorac Surg 2001;20:1168-1175.
  15. Delgado-Rodriguez M, Gomez-Ortega A, Sillero-Arenas M, Llorca J. Epidemiology of surgical-site infections diagnosed after hospital discharge: a prospective cohort study. Infect Control Hosp Epidemiol 2001;22:24-30.
  16. Najjar PA, Smink DS. Prophylactic antibiotics and prevention of surgical site infections. Surg Clin North Am 2015;95:269-283.
  17. Mattei P, Rombeau JL. Review of the pathophysiology and management of postoperative ileus. World J Surg 2006;30:1382-1391.
  18. Vacas S, Canales C, Deiner SG, Cole DJ. Perioperative brain health in the older adult: a patient safety imperative. Anesth Analg 2022;135:316-328.
  19. O'Gara BP, Gao L, Marcantonio ER, Subramaniam B. Sleep, pain, and cognition: modifiable targets for optimal perioperative brain health. Anesthesiology 2021;135:1132-1152.
  20. White RH, Zhou H, Romano PS. Incidence of symptomatic venous thromboembolism after different elective or urgent surgical procedures. Thromb Haemost 2003;90:446-455.
  21. Mismetti P, Laporte S, Darmon JY, Buchmuller A, Decousus H. Meta-analysis of low molecular weight heparin in the prevention of venous thromboembolism in general surgery. Br J Surg 2001;88:913-930.
  22. Sharma G, Kuo YF, Freeman J, Zhang DD, Goodwin JS. Comanagement of hospitalized surgical patients by medicine physicians in the United States. Arch Intern Med 2010;170:363-368.
  23. Whinney C, Michota F. Surgical comanagement: a natural evolution of hospitalist practice. J Hosp Med 2008;3:394-397.
  24. Phy MP, Vanness DJ, Melton LJ 3rd, et al. Effects of a hospitalist model on elderly patients with hip fracture. Arch Intern Med 2005;165:796-801.
  25. Zuckerman JD, Sakales SR, Fabian DR, Frankel VH. Hip fractures in geriatric patients. Results of an interdisciplinary hospital care program. Clin Orthop Relat Res 1992;274:213-225.