Washington Manual of Surgery Podcast

Preoperative Assessment - Washington Manual of Surgery

• WashU Medicine Department of Surgery

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0:00 | 14:53

Let’s talk preoperative management—Join general surgery resident Dr. Angela Hill for a discussion with expert trauma critical care surgeon Dr. Thoi H. Ngo. This episode of the Washington Manual of Surgery Podcast will focus on the preoperative assessment of patients and serves as an additional companion to Chapter 1 of the 9th edition of the bestselling Washington Manual of Surgery.

In this episode of the Washington Manual of Surgery Podcast, Drs. Ngo and Hill discuss surgical decision-making in a "flip-the-script" Board-style (versus our usual) discussion of an elderly patient presenting to the emergency department with abdominal pain, focusing not just on the clinical management but functional status, preoperative optimization, and decision-making capacity.

Guest Host:

Angela Hill, MD – General surgery resident at WashU Medicine.

Guest:

Thoi H. Ngo, MD – Dr. Ngo is a fellowship-trained trauma surgeon. Dr. Ngo completed the two-year surgical critical care and trauma/acute care surgery fellowship at WashU Medicine before joining the faculty in the Section of Acute and Critical Care Surgery. He is now an attending trauma surgeon at Westchester Medical Center Health.

Notes:

FRAIL Scale: Fatigue, Resistance, Ambulation, Illnesses, and Loss of Weight - Gleason LJ, et al. FRAIL Questionnaire Screening Tool and Short-Term Outcomes in Geriatric Fracture Patients. J Am Med Dir Assoc. 2017 Dec 1;18(12):1082.

Comprehensive Geriatric Assessment: Pilotto A, et al. The Comprehensive Geriatric Assessment and the multidimensional approach. A new look at the older patient with gastroenterological disorders. Best Pract Res Clin Gastroenterol. 2009;23(6):829.

Prehabilitation: Hughes MJ, et al. Prehabilitation Before Major Abdominal Surgery: A Systematic Review and Meta-analysis. World J Surg. Jul 2019;43(7):1661.

Decision-making information: WashU Center for Humanism and Ethics in Surgical Specialties (CHESS): https://chess.wustl.edu/



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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media. 

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