Preoperative Management of Medications

Anesthesiol Clin. 2018 Dec;36(4):663-675. doi: 10.1016/j.anclin.2018.07.012.


Increasingly complex medication regimens for many comorbidities in patients for planned surgical and procedural interventions necessitate detailed preoperative evaluation of the pharmacologic therapy, including the indications, the specific drugs, and dosing amount and interval. The implications of continuing or withholding these agents in the perioperative period need to be elucidated, as well as the risks of interactions and side effects. A comprehensive plan of the management of the therapeutic agents should be devised during the preoperative visit, with input from all relevant specialists, and clearly communicated to the patients in a format that ensures their comprehension and consistent compliance.

Keywords: Perioperative anticoagulation; Perioperative antihypertensive therapy; Perioperative medications; Perioperative serotonin syndrome; Perioperative stress dose steroids.

Publication types

  • Review

MeSH terms

  • Humans
  • Intraoperative Complications / prevention & control*
  • Medical History Taking*
  • Polypharmacy*
  • Postoperative Complications / prevention & control*
  • Preoperative Care / methods*