For Patients: Pre-surgical Services

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Before Your Surgery: Visit the IMPACT Center

The Internal Medicine Preoperative Assessment, Consultation and Treatment Center (IMPACT) at Cleveland Clinic is a clinic where a doctor evaluates your medical condition prior to surgery and helps prepare you for your procedure.

The goal of this visit is to minimize your risks of developing complications as a result of surgery or anesthesia.

It is staffed by the hospitalists from the Department of Hospital Medicine and directed by Ajay Kumar, MD. More than 14,500 patients were seen in 2007. Patients are referred from surgeons in over 10 different surgical departments at Cleveland Clinic, ranging from colorectal surgery to vascular surgery.

Internal Medicine Preoperative Assessment, Consultation and Treatment Center Achieves Better Outcomes

In an era where outcomes are important, the IMPACT Center staff:

  • Evaluate patients undergoing non-cardiac surgery
  • Outline the perioperative risks
  • Optimize the chronic conditions
  • Make evidence-based recommendations for patients, the anesthesiologists and the surgical team.

This systematic approach results in safe quality care for Cleveland Clinic patients. A recent study in the Journal of Clinical Outcomes showed that the IMPACT Center evaluation resulted in a low rate of postoperative pulmonary complications compared to nationally reported numbers.

Your Pre-surgery Visit to the IMPACT Center: What to Bring, What to Expect

Your blood is crucial to your health, but even more so when you are planning for surgery or have a long-term medical condition. Blood management uses the latest in technology and medications to reduce blood lost during surgery, build up your own blood, or both.

The concept of Blood Management has been around for decades. It has been proven to:

  • Build up your own blood using approved medications
  • Decrease the likelihood and number of blood transfusions
  • Conserve the limited donor blood supply
  • Decrease the risk associated with blood transfusions

Services We Provide

A Blood Management team member can help you understand some of the benefits of the services available. These include:

  • Education on available therapies
  • Screening for anemia prior to surgery
  • Coordination of care between your primary care physician and surgeon
  • Physician referrals

If you have a low blood count, a Blood Management team member works with your doctor to decide on an appropriate plan to help you build up your own blood. Your doctor will talk to you about the risks and benefits of each option.

For additional information please contact our Blood Management Staff at 216.445.0245 or email bloodmgmtmain@ccf.org

Additional Resources