Preoperative management of chronic disease

ABSTRACT

With the innovation and improvements in medical science, longer life expectancy has been achieved and growing population is being diagnosed and treated as chronic diseases such as diabetes, chronic pulmonary obstructive disease or hypertension. These chronic diseases often affect multiple organs of cardiovascular and neuroendocrine system and blunt regulatory function which is crucial for the defense response against external and internal harmful stresses. The risk of perioperative complications including cardiovascular events is also higher in poorly controlled diabetes or hypertension. Therefore it is very important to evaluate and manage these problems preoperatively. This paper reviews preoperative management of common chronic diseases such as diabetes, hypertension, and chronic pulmonary obstructive disease.