![]() Similarly, patients receiving insulin should have endocrinology evaluation to develop an individualized plan to manage hyperglycemia or hypoglycemia in the pre, peri, or postoperative period. Patients with bronchopulmonary dysplasia will need preoperative pulmonary consultation, including completion of pulmonary function testing, before any major surgery. While patients with a well-controlled seizure disorder do not typically require changes in their anesthetic approach, preoperative neurology consultation would be indicated for any patient with a history of a recent change in seizure frequency, intensity, or type of seizures. Renal consultation would be indicated for any patient with acute or chronic end-stage renal disease to determine if specific issues related to fluid sensitivity or drug metabolism need to be considered. ![]() Examples of such consults include cardiology consultation for patients with corrected and uncorrected congenital cardiac lesions or a patient presenting with pulmonary hypertension. Preoperative Consultations with Other SpecialistsĪnesthesiologists should obtain appropriate patient-specific before or concurrent with any preoperative evaluation.
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