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Perioperative Cardiopulmonary Evaluation and Management : Introduction FREE TO VIEW

James B. D. Mark, MD, FCCP
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Professor Emeritus Stanford University School of Medicine Stanford, CA

Correspondence to: James B.D. Mark, MD, FCCP, Department of Cardiothoracic Surgery, CVRB207, Stanford University School of Medicine, Stanford, CA 94305-5247; e-mail: jbdm@leland.stanford.edu

Chest. 1999;115(suppl_2):43S. doi:10.1378/chest.115.suppl_2.43S
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During deliberations in 1997, the Committee on Health and Science Policy of the American College of Chest Physicians (ACCP) concluded that there was a need to identify and discuss the multitude of factors that affect patient comfort and the risk of morbidity and mortality in the perioperative period. Responding to this recommendation, a Conference on Perioperative Evaluation and Management was convened at ACCP headquarters in Northbrook, IL, on May 16 and 17, 1998. Clinical scholars and investigators were invited to participate in this workshop and each was asked to address a single topic affecting patient risk and comfort in the perioperative period. The members of the Committee on Health and Science Policy were asked to chair break-out sessions following the presentations and to summarize the thrust of each group of talks. While we hoped to arrive at some recommendations based on evidence or consensus, the main aim was to identify areas that would be important for further investigation. Those recommendations are included in the summaries.

Each participant and committee member worked diligently in this effort. I believe that the product of their work reflects this effort along with their expertise in the field in which they have spoken and written. I thank them sincerely. The staff of the ACCP did a wonderful job in preparing for and putting on this conference and keeping all of us moving in the proper direction so this project could be completed. We express our thanks especially to Beth Welch, Program Coordinator for the Division of Health and Science Policy, who was the driving force in all phases of this endeavor. Dr. Sydney Parker, Vice-President for Health and Science Policy, and Dr. David Eubanks, Vice-President for Education and Special Projects, provided essential input and support.

There are > 40,000,000 operations and procedures carried out in the United States each year. The time prior to, during, and following these events is of great interest and importance to ACCP members, to say nothing of our patients. We have pulmonologists, cardiologists, anesthesiologists, intensivists, and surgeons as members of the ACCP, and the perioperative period is a time when all of these specialists meet and bring their expertise to bear for the benefit of the patient. If by our efforts we are able to reduce the perioperative morbidity and mortality even a little bit, we will have performed a valuable service.




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