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Featured Articles: Infographic

The Evolution of Perioperative Medicine: Transforming Preoperative Assessment to Optimization

Nathan, Naveen MD

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doi: 10.1213/ANE.0000000000004695

Three articles in this month’s issue of Anesthesia & Analgesia detail our current approach to preoperative assessment of surgical patients. They distinguish this from a higher standard of management that aims to comprehensively improve the health status of these patients. Accordingly, they define this as an evolution from simple assessment of risk to definitive optimization of comorbid medical disease. The clear challenge in this endeavor is in balancing the relative urgency of surgical intervention with the time and thoughtfulness of medical optimization, all the while demonstrating value. This infographic illustrates the sweeping and inclusive approach undertaken at 1 institution to achieve these goals.


1. Aronson S, Martin G, Gulur P, et al. Preoperative optimization: a continued call to action. Anesth Analg. 2020;130:808–810.
    2. Vetter TR, Bader AM. Continued evolution of perioperative medicine: realizing its full potential. Anesth Analg. 2020;130:804–807.
      3. Aronson S, Murray S, Martin G, et al. Roadmap for transforming preoperative assessment to preoperative optimization. Anesth Analg. 2020;130:811819.
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