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Update in Perioperative Medicine

Gerald W. Smetana, MD; Steven L. Cohn, MD; and Valerie A. Lawrence, MD
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From Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts; State University of New York Downstate Medical Center, Brooklyn, New York; VERDICT (A VHA Health Services Research Center of Excellence), South Texas Veterans Health Care System, and the University of Texas Health Center, San Antonio, Texas.

Potential Financial Conflicts of Interest:Grants received: S.L. Cohn (Aventis).

Requests for Single Reprints: Gerald W. Smetana, MD, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Shapiro 621D, 330 Brookline Avenue, Boston, MA 02215.

Current Author Addresses: Dr. Smetana: Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Shapiro 621D, 330 Brookline Avenue, Boston, MA 02215.

Dr. Cohn: Division of General Internal Medicine, State University of New York Downstate Medical Center, 470 Clarkson Avenue, Box 68, Brooklyn, NY 11203.

Dr. Lawrence: Medicine/General Medicine, University of Texas Health Center, 7703 Floyd Curl Drive, Mail Code 7879, San Antonio, TX 78229-3900.

Ann Intern Med. 2004;140(6):452-461. doi:10.7326/0003-4819-140-6-200403160-00012
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Medical consultation for patients preparing for surgery is an important activity for internists. Many clinicians may, however, feel unprepared for this role because the science and clinical recommendations do not follow intuitively from the day-to-day care of medical patients in the office or the hospital. Over the past 3 decades, this field has evolved from one of clinical experience and anecdote to a more evidence-based discipline. We present this first Update in Perioperative Medicine to review recent key articles and advances in this field.

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