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- J K Dhesi and M Swart.
- Department of Ageing and Health, Guy's and St Thomas' Hospitals, London, UK.
- Anaesthesia. 2016 Jan 1;71 Suppl 1:3-8.
AbstractWhile specialist pre-operative assessment is not new, its focus has evolved in response to more operations and changes in the surgical population. Patients are older and have more long-term medical comorbidities. At the same time, there has been a move from paternalistic medical decision-making to shared decision-making, based on an individual patient's choice or preference. Specialist pre-operative consultations have had to adapt to these changes by broadening their scope. Pre-operative clinics have a central role in shared decision-making, coordinating and planning care before, during and after surgery, including rehabilitation and discharge planning. Multiple specialties need to work together to deliver quality patient-centred care.© 2015 The Association of Anaesthetists of Great Britain and Ireland.
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