The increase in life expectancy and the ageing of the population, together with more advanced surgical and anaesthetic procedures, has led to older patients with significant comorbidities undergoing surgical interventions more frequently, with the consequent greater risk of complications and longer stays, a problem that will increase in the coming years.
This is why internal medicine specialists are increasingly required by surgical specialists not only for preoperative assessment but also to provide a rapid response to the various complications that may arise during the course of the operation. The way in which medical and surgical services are organised to respond to this demand constitutes the basis of so-called Perioperative Medicine. Its ultimate aim is to ensure that the patient reaches the time of the intervention in the best possible conditions and that, once the surgical procedure has been performed, the complications that develop are minimal.
In order to disseminate and support the knowledge necessary to undertake these tasks, specialists from the Hospital Universitario y Politécnico La Fe in Valencia (Spain) from the Internal Medicine, Endocrinology and Nutrition services and the Infectious Diseases Unit developed the idea of creating a manual of Consultative Medicine that would address, in a practical way, the different aspects for which a specialist can be consulted in the field of hospital activity, emphasizing the perioperative period, as this is the main reason for hospital consultation.
This project, started in 2015, now reaches a new dimension by including in its development internists from different hospitals in the Valencian Community (Spain) and grouped under the auspices of the Society of Internal Medicine of the Valencian Community (SMICV). With their participation we hope to reach new levels of excellence in the dissemination of knowledge and provide it with new tools such as those intended for information and training of the patient for self-care.
The app format was chosen because the intention is to provide a dynamic and up-to-date support with the latest scientific evidence, and only the immediacy that this medium provides will allow us to achieve these objectives, with a “point-of-care” vision of use.
There is also a direct communication channel with the authors and developers of the app, in email and blog format. From here we encourage future readers to send questions, criticisms or suggestions to follow in future updates.
We would like to thank the Society of Internal Medicine of the Valencian Community (SMICV) and the entire team of authors and developers who have participated in the development of this application for their commendable effort. On behalf of everyone, it is our wish that future users find quick, effective and necessary help to clarify the diagnostic or therapeutic guidelines to follow in each of the aspects discussed. If we achieve this goal, we will feel that our effort has been worthwhile.
The Editorial Committee