The concept of peri-operative medicine to prevent major adverse events and improve outcome in surgical patients: A narrative review
| Autor: | Bollen Pinto, Bernardo, Chew, Michelle, Lurati Buse, Giovanna, Walder, Bernard |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Perioperative Care/methods
Postoperative Complications/etiology/prevention & control Surgical Procedures Treatment Outcome ddc:617 Quality of Life Humans Patient Care Team/organization & administration Operative/adverse effects Patient-Centered Care/methods/organization & administration Critical Pathways/organization & administration |
| Zdroj: | European Journal of Anaesthesiology, Vol. 36, No 12 (2019) pp. 889-903 |
| ISSN: | 0265-0215 |
| Popis: | Peri-operative Medicine is the patient-centred and value-based multidisciplinary peri-operative care of surgical patients. Peri-operative stress, that is the collective response to stimuli occurring before, during and after surgery, is, together with pre-existing comorbidities, the pathophysiological basis of major adverse events. The ultimate goal of Peri-operative Medicine is to promote high quality recovery after surgery. Clinical scores and/or biomarkers should be used to identify patients at high risk of developing major adverse events throughout the peri-operative period. Allocation of high-risk patients to specific care pathways with peri-operative organ protection, close surveillance and specific early interventions is likely to improve patient-relevant outcomes, such as disability, health-related quality of life and mortality. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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