Abstract
Polypharmacy can refer to the prescribing of many medicines (five or more medicines are often quoted) or to the addition of inappropriate medicines to an existing regime. It appeared in medical literature more than 150 years ago and thus is not an unfamiliar term. Why is there a need to talk about polypharmacy in a general surgery population? The number of chronic medicine that patients receive has increased over the years. The following paragraphs will sought to explain why.
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References
Bell C et al (2006) Potentially unintended discontinuation of long-term medication use after elective surgical procedures. Arch Intern Med 166:2525–2531
Coriat P et al (1994) Influence of chronic angiotensin-converting enzyme inhibition on anesthetic induction. Anesthesiology 81(2):299–307
Downing N et al (2014) Clinical trial evidence supporting FDA approval of novel therapeutic agents, 2005-2012. JAMA 311:368–377
Johnell K, Klarin I (2007) The relationship between number of drugs and potential drug-drug interactions in the elderly: a study of over 600 000 elderly patients from the Swedish prescribed drug register. Drug Saf 30:911–918
Maher RL (2014) Clinical consequences of polypharmacy in elderly. Expert Opin Drug Saf 13(1):57–65
Mansur N (2012) Looking beyond polypharmacy: quantification of medication regimen complexity in the elderly. Am J Geriatr Pharm 10:223–229
Orser B et al (2013) Review article: improving drug safety for patients undergoing anesthesia and surgery. Can J Anesth 60(2):127–135
Roth MT et al (2013) Individualized medication assessment and planning: optimizing medication use in older adults in the primary care setting. Pharmacotherapy 33(8):787–797
Sheehy AM, Gabbay RA (2009) An overview of preoperative glucose evaluation, management, and perioperative impact. J Diabetes Sci Technol 3:1261–1269
Soto-Ruiz KM et al (2011) Perioperative hypertension: diagnosis and treatment. Neth J Crit Care 15:143–148
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Tan, D.SY., Wee, A.HH. (2015). The Role of a Pharmacist in a Transdisciplinary Geriatric Surgery Team. In: Tan, KY. (eds) Transdisciplinary Perioperative Care in Colorectal Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44020-9_6
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DOI: https://doi.org/10.1007/978-3-662-44020-9_6
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