J Korean Med Assoc.  2014 Oct;57(10):826-831. 10.5124/jkma.2014.57.10.826.

Preoperative management of chronic disease

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea. nopain@chamc.ac.kr

Abstract

With the innovation and improvements in medical science, longer life expectancy has been achieved and growing population is being diagnosed and treated as chronic diseases such as diabetes, chronic pulmonary obstructive disease or hypertension. These chronic diseases often affect multiple organs of cardiovascular and neuroendocrine system and blunt regulatory function which is crucial for the defense response against external and internal harmful stresses. The risk of perioperative complications including cardiovascular events is also higher in poorly controlled diabetes or hypertension. Therefore it is very important to evaluate and manage these problems preoperatively. This paper reviews preoperative management of common chronic diseases such as diabetes, hypertension, and chronic pulmonary obstructive disease.

Keyword

Preoperative care; Chronic disease; Diabetes mellitus; Hypertension

MeSH Terms

Chronic Disease*
Diabetes Mellitus
Hypertension
Life Expectancy
Neurosecretory Systems
Preoperative Care

Cited by  1 articles

Perioperative management of elderly patients undergoing surgery with regional anesthesia
Jae Hoon Lee, Ki-Young Lee
J Korean Med Assoc. 2015;58(8):737-742.    doi: 10.5124/jkma.2015.58.8.737.


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