Practice of clinical pharmacists participating in perioperative pharmaceutical management
10.3760/cma.j.cn114015-20201111-01130
- VernacularTitle:临床药师参与围术期药学管理实践与研究
- Author:
Han XIE
1
;
Min XUE
;
Zhengliang MA
;
Yudong QIU
;
Weihong GE
Author Information
1. 南京大学医学院附属鼓楼医院药学部，南京 210008
- Publication Type:Journal Article
- Keywords:
Perioperative medicine;
Pharmaceutical services;
Pharmacists;
Risk assessment
- From:
Adverse Drug Reactions Journal
2021;23(8):433-435
- CountryChina
- Language:Chinese
-
Abstract:
In the past, clinical pharmacists were less involved in the perioperative pharmaceutical management for surgical patients, mainly related to the analgesic management of postoperative pain. In recent 2 years, clinical pharmacists have found that the perioperative patients often suffer from other underlying diseases and need long-term medication. The lack of perioperative pharmaceutical management and evaluation may increase the risk of intraoperative accidents or postoperative complications in some patients. In May 2020, a female patient with rheumatoid arthritis in Nanjing Drum Tower Hospital Affiliated to Medical College of Nanjing University failed to fully evaluate the risk of difficult airway caused by long-term use of prednisolone tablets before operation developed difficulty with facemask ventilation and tracheal intubation after anesthesia, and the operation was forced to be terminated. This incident attracted great attention from pharmacists, so they began to implement comprehensive pharmaceutical management for perioperative patients, including formulating a number of management specifications for common perioperative drugs, opening a perioperative pharmaceutical care clinic for daytime surgical patients, and implementing comprehensive perioperative pharmaceutical management for surgical inpatients. Half a year after clinical pharmacists strengthened the perioperative pharmaceutical management, the satisfaction of surgeons, nurses, and patients with their works were 98.2%, 99.1%, and 93.9%, respectively.
