TY  - CHAP
M1  - Book, Section
TI  - Appropriate and Effective Use of Consultants
A1  - King, Adam B.
A1  - Robertson, Amy
A1  - Weavind, Liza
A2  - Longnecker, David E.
A2  - Mackey, Sean C.
A2  - Newman, Mark F.
A2  - Sandberg, Warren S.
A2  - Zapol, Warren M.
PY  - 2017
T2  - Anesthesiology, 3e
AB  - KEY  POINTSAnesthesiologists,  as  perioperative  physicians,  must  appropriately  and  effectively  utilize  consultants  to  improve  surgical  outcomes  for  the  patient.Effective  and  appropriate  use  of  consultants  is  a  medical  necessity  to  optimize  the  chronic  medical  conditions  associated  with  an  aging  patient  population  undergoing  more  invasive  surgery.Recognition  of  coexisting  disease  states  requiring  optimization  prior  to  surgery  is  key  to  determining  when  consultations  are  needed.Anesthesiologists  are  responsible  for  perioperative  risk  stratification,  anesthetic  technique,  and  management  of  the  patient  in  the  perioperative  period.Communication  among  care  providers  is  essential  to  be  effective  and  influence  patient  outcomes.When  referring  a  patient  for  consultation,  ensuring  that  a  clear  and  direct  question  has  been  asked  can  help  improve  the  quality  of  the  consultation.Development  of  preoperative  evaluation  clinics  may  streamline  the  preoperative  evaluation  process  and  minimize  unnecessary  consultations.Anesthesiologists  have  a  unique  skill  set  that  can  be  utilized  in  the  perioperative  period  to  improve  pain  control,  fluid  management,  and  postoperative  nausea.Development  of  perioperative  guidelines  in  concert  with  consultant  professional  organizations  such  as  the  American  College  of  Cardiology/American  Heart  Association  (ACC/AHA)  will  help  determine  when  consultations  are  necessary.Development  of  the  perioperative  surgical  home  model  of  care  will  continue  to  advance  the  role  of  anesthesiologists  as  consultants  in  the  perioperative  period.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/23
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1144111713
ER  -