Every procedure elicits a stress-response, i.e., “surgical stress,” characterized by physiological (i.e., autocrine, endocrine, and paracrine) changes accompanied by psychological reactions (e.g., fear, anxiety, anger, tension, malaise or fatigue).11 The magnitude of these procedure-related responses is proportional to the severity of tissue trauma, duration of the procedure, volume of blood loss, fluid shifts, and changes in core body temperature.11
Based on the above criteria, procedure-related stress has been classified as high, intermediate, and low with estimated rates of associated major medical events of >5%, 1-5%, and <1%, respectively.12 With low-stress procedures (e.g., dental procedures), the risk is negligible unless strong patient-specific risk factors are present. OHCP must identify patent-specific risk factors that may lead to medical emergencies during the perioperative period.
Your session is about to expire. Do you want to continue logged in?
WARNING! You did not finish creating your certificate. Please click CONTINUE below to return to your previous page to complete the process. Failure to complete ALL the steps will result in a loss of this test score, and you will not receive credit for this course.