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View Diary: Medical Error, Liability, and Murtha (322 comments)

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  •  Interesting observation. (0+ / 0-)

    We have a nurse run pre-op clinic where by criteria they call the anesthesiologist for direction.  When further evaluation is necessary, we order it. no cxr unless specifically indicated, no ekg unless indicated for patients under 55, and 6 mo is ok if there was no abnormality on the last one. Minimal pre-op labs unless specifically indicated.

    I am glad you do not "clear" patients for surgery.  That is one of my pet peeves. What we want, as anesthesiologists, is exactly what you describe: characterize the disease, and tell me whether the patient is optimized or whether  additional treaatment could make the risk lower.  No patient is too sick for surgery.  All patients are cleared for surgery- it is just a matter of relative risks.

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