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Korean Journal of Anesthesiology 1973;6(2):109-116.
DOI: https://doi.org/10.4097/kjae.1973.6.2.109   
Analysis of Interdepartmental Consultation (2) .
Se Ung Chon, Joo Young Choi
Department of Anesthesiology, Catholic Medical College, Seoul, Korea.
Abstract
This is an analysis of 75 cases of written interdepartmental consultations submitted to our department during January 1973 to December 1973. In all, 67 cases were surgical, 8 cases were non-surgical and, of which, 66 cases were for elective cases and 6 cases were for emergency cases, including 5 non-operative cases, and post-operative consultations were 3 cases. Among the 67 surgical cases, 4 cases of surgery were postponed according to our advice. The analysis was as follows; 1 Age; 58.6% were over 40 years old, which included 25.3% over 60 pears old. 2. Sex; male was 49.3% and female was 50.7%. 3. The consultation rate was 2.9% (consultation cases 75; total operation cases 2583). The number of monthly consultations was 7 cases on average. 4. The highest number of departmental consulations were requested from general surgery (42.7%), then from orthopedic department (30.7%), from internal medicine (8.0%), and from eye department (8.0%) respectively. 5. In pre-operative diagnosis of the consultations, around 45 diseases were encountered. 6. The problems of the consultations were varied in 153 subjects; 30.1% of the consulted problems were cardiovascular origins, including hypertension (8.5%), severe anemia (7.1%), and ECG abnormalities (5.9%). 23.5% of the consulted problems were respiratory dysfunction and 21.6% of the problems were endocrinological and metabolic disorders. 7. 3.9% of the problems were therapeutic pain control and/or block. Pain clinics were recently started in our country, in this regards, a joint clinic staff may help to operate the pain clinic efficiently. 8. There were 67 pre-operative surgical consultations (95.5%) and 3 post-operative consulations (4.5%). 9. Through this study, anesthesiologists are requested to have a much broad medical and surgical knowledge to keep their high standard of the speciality.


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