Correspondence  |   May 2017
Preanesthetic Assessment Clinic: Early Beginnings in the Bronx
Author Notes
  • Mount Sinai Medical Center, New York, New York. elzfrost@al.com
  • (Accepted for publication January 26, 2017.)
    (Accepted for publication January 26, 2017.)×
Article Information
Correspondence
Correspondence   |   May 2017
Preanesthetic Assessment Clinic: Early Beginnings in the Bronx
Anesthesiology 5 2017, Vol.126, 984. doi:10.1097/ALN.0000000000001589
Anesthesiology 5 2017, Vol.126, 984. doi:10.1097/ALN.0000000000001589
The article in the August 2016 issue of Anesthesiology, “ Preoperative Evaluation Clinic Visit Is Associated with Decreased Risk of In-hospital Postoperative Mortality” by Blitz et al.,1  brought back memories of my attempts at founding a preanesthetic clinic in the Bronx more than 40 yr ago.
With the help of an internist, Dr. Richard Collens, I started a program at the Bronx Municipal Hospital Center (New York City, New York), initially designed to help women. After leaving their children at school, women scheduled for surgery would come to the hospital where I would discuss their anesthesia with them, order appropriate tests, and perform a physical examination. Later in the day, they would return to see me as it was convenient for them, and I would discuss the results of their tests and we would schedule them for surgery. Patients quickly realized what they could expect, especially that they did not have to come in ahead of time for tests, and moreover, they did not have to spend longer postoperative time in the hospital. They actually told their surgeons that they were ready to go home now! Whenever possible, I either anesthetized the patients or followed up with them in the recovery room or telephoned them at home. The program was expanded to all patient populations within a few weeks. The program was also used by Bronx high school students as a type of elective to observe and follow patients.
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