Cardiology consultations are often requested by surgeons and anesthesiologists for patients with cardiovascular disease.
There can be confusion, however, regarding both the reasons for a consultation and their effect on patient management.
This study was designed to determine the attitudes of physicians toward preoperative cardiology consultations and to assess the effect of such consultations on perioperative management.
A multiple-choice survey regarding the purposes and utility of cardiology consultations was sent to randomly selected New York metropolitan area anesthesiologists, surgeons, and cardiologists.
In addition, the charts of 55 consecutive patients aged>50 yr who received preoperative cardiology consultations were examined to determine the stated purpose of the consult, recommendations made, and concordance by surgeons and anesthesiologists with cardiologists'recommendations.
Of the 400 surveys sent to each specialty, 192 were returned from anesthesiologists, 113 were returned from surgeons, and 129 were returned from cardiologists.
There was substantial disagreement on the importance and purposes of a cardiology consult : intraoperative monitoring, « clearing the patient for surgery, » and advising as to the safest type of anesthesia were regarded as important by most cardiologists and surgeons but as unimportant by anesthesiologists (all P<0.05). (...)
Mots-clés Pascal : Chirurgie, Coeur, Homme, Enquête, Consultation, Préopératoire, Médecin, Cardiologie, Anesthésiste, New York, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Surgery, Heart, Human, Survey, Consultation, Preoperative, Physician, Cardiology, Anesthesiologist, New York, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0032396
Code Inist : 002B25E. Création : 31/05/1999.