Recommendations of the Society of Thoracic Surgery and the Section of Cardiothoracic and Vascular Surgery of the Spanish Society of Anesthesia, Resuscitation and Pain Therapy, for patients undergoing lung surgery included in an intensified recovery program.

Autor: Garutti I; Servicio Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Departamento de Farmacología y Toxicología, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain. Electronic address: ngaruttimartinez@yahoo.es., Cabañero A; Servicio de Cirugía Torácica, Hospital Universitario Ramón y Cajal, Madrid, Spain., Vicente R; Servicio de Anestesia y Reanimación, Hospital La Fe, Valencia, Spain., Sánchez D; Servicio de Cirugía Torácica, Hospital Clínic, Barcelona, Spain., Granell M; Servicio de Anestesia y Reanimación, Hospital General, Valencia, Spain., Fraile CA; Servicio de Cirugía Torácica, Hospital Universitari Arnau de Vilanova, Lleida, Spain., Real Navacerrada M; Servicio de Anestesia y Reanimación, Hospital Universitario 12 de Octubre, Madrid, Spain., Novoa N; Servicio de Cirugía Torácica, Complejo Asistencial Universitario de Salamanca (CAUS), Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain., Sanchez-Pedrosa G; Servicio Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, Spain., Congregado M; Servicio de Cirugía Torácica, Hospital Virgen de la Macarena, Sevilla, Spain., Gómez A; Unitat de Rehabilitació Cardiorespiratòria, Hospital Universitari Vall d'Hebron, Barcelona, Spain., Miñana E; Servicio de Anestesia y Reanimación, Hospital de la Ribera, Alzira, Valencia, Spain., Piñeiro P; Servicio Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, Spain., Cruz P; Servicio Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, Spain., de la Gala F; Servicio Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, Spain., Quero F; Servicio de Cirugía Torácica, Hospital Universitario Virgen de las Nieves, Granada, Spain., Huerta LJ; Servicio de Cirugía Torácica, Hospital General Universitario Gregorio Marañón, Madrid, Spain., Rodríguez M; Servicio de Cirugía Torácica, Clínica Universidad de Navarra, Madrid, Spain., Jiménez E; Fisioterapia Respiratoria, Hospital Universitario A Coruña, La Coruña, Spain., Puente-Maestu L; Servicio de Neumología, Hospital General Universitario Gregorio Marañón, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain., Aragon S; Servicio de Anestesia, Reanimación y Tratamiento del Dolor, Hospital Clínico Universitario, Valencia, Spain., Osorio-Salazar E; Servicio de Anestesia y Reanimación, Hospital Universitari Arnau de Vilanova, Lleida, Spain., Sitges M; Bloc Quirúrgic i Esterilització, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain., Lopez Maldonado MD; Servicio de Anestesia y Reanimación, Hospital La Fe, Valencia, Spain., Rios FT; Servicio de Anestesia y Reanimación, Hospital La Fe, Valencia, Spain., Morales JE; Servicio de Anestesia y Reanimación, Hospital General, Valencia, Spain., Callejas R; Servicio de Anestesia, Reanimación y Tratamiento del Dolor, Hospital Clínico Universitario, Valencia, Spain., Gonzalez-Bardancas S; Servicio de Anestesia y Reanimación, Complejo Hospitalario Universitario A Coruña, La Coruña, Spain., Botella S; Servicio de Anestesia y Reanimación, Hospital La Fe, Valencia, Spain., Cortés M; Servicio de Anestesia y Reanimación, Hospital Universitario 12 de Octubre, Madrid, Spain., Yepes MJ; Servicio de Anestesia y Reanimación, Clínica Universidad de Navarra, Navarra, Pamplona, Spain., Iranzo R; Servicio de Anestesia y Reanimación, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, Spain., Sayas J; Servicio de Neumología, Hospital General Universitario Gregorio Marañón, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain.
Jazyk: angličtina
Zdroj: Revista espanola de anestesiologia y reanimacion [Rev Esp Anestesiol Reanim (Engl Ed)] 2022 Apr; Vol. 69 (4), pp. 208-241. Date of Electronic Publication: 2022 May 15.
DOI: 10.1016/j.redare.2021.02.011
Abstrakt: In recent years, multidisciplinary programs have been implemented that include different actions during the pre, intra and postoperative period, aimed at reducing perioperative stress and therefore improving the results of patients undergoing surgical interventions. Initially, these programs were developed for colorectal surgery and from there they have been extended to other surgeries. Thoracic surgery, considered highly complex, like other surgeries with a high postoperative morbidity and mortality rate, may be one of the specialties that most benefit from the implementation of these programs. This review presents the recommendations made by different specialties involved in the perioperative care of patients who require resection of a lung tumor. Meta-analyzes, systematic reviews, randomized and non-randomized controlled studies, and retrospective studies conducted in patients undergoing this type of intervention have been taken into account in preparing the recommendations presented in this guide. The GRADE scale has been used to classify the recommendations, assessing on the one hand the level of evidence published on each specific aspect and, on the other hand, the strength of the recommendation with which the authors propose its application. The recommendations considered most important for this type of surgery are those that refer to pre-habilitation, minimization of surgical aggression, excellence in the management of perioperative pain and postoperative care aimed at providing rapid postoperative rehabilitation.
(Copyright © 2022. Publicado por Elsevier España, S.L.U.)
Databáze: MEDLINE
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