Preoperative interventions

There is now increasing evidence that the systematic preoperative education in a therapeutic context may enhance adjustment to surgical procedures. (19 Postoperative education may also improve subsequent rehabilitation following cardiac ^J) and other surgical procedures. Such approaches are in tune with the trend of consumerism and patient empowerment in Western cultures, in which greater emphasis is given to assisting patients to cope actively with their condition and to assume more responsibility for their medical course and treatment outcome.

Any psychotropic medications being taken preoperatively are important to document, since their pharmacological effects need to be taken into account when administering the anaesthetic and postoperative medications. This topic is discussed in detail in a recent review of the literature on psychotropic drugs and anaesthesia by Pasnau et al. (12)

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