Features  |   May 2019
Setting Preoperative ICU Goals of Care
Author Affiliations
  • Shahla Siddiqui, M.B.B.S., DABA, M.Sc.
    Committee on Critical Care Medicine
  • David L. Stahl, M.D.
    Committee on Critical Care Medicine
  • George Williams, M.D., FASA, FCCM, FCCP
    Chair, Committee on Critical Care Medicine
  • Justin N. Tawil, M.D., B.S.
    Committee on Critical Care Medicine
Article Information
Critical Care / Features
Features   |   May 2019
Setting Preoperative ICU Goals of Care
ASA Monitor 5 2019, Vol.83, 14-16.
ASA Monitor 5 2019, Vol.83, 14-16.
Perioperative management of high-risk surgical patients poses many challenges. Patients may be deemed high risk based on poor baseline functional status, severe or uncontrolled co-morbidities, poor scores on risk and frailty calculators, invasiveness of the planned procedure and other qualitative and quantitative data. High-risk surgical patients may be more susceptible to complications and prolonged recovery. The scheduled surgery may be a suboptimal choice even in the setting of a “typical indication” compared to less invasive or even palliative options, which may not have been presented or considered. The risks of the surgery may outweigh the proposed benefits and may not align with the patient’s values and preferences.1 
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