Book ChapterDOI
Update in Perioperative Medicine: Updates, Advances, Controversies in Perioperative Care
Lakshmi N. Prasad Ravipati
- pp 143-157
TLDR
Perioperative care should involve a comprehensive evaluation of the patient, risk assessment of various complications, suggesting ways to reduce the complications, working on optimization of the customer’s chronic medical conditions and managing them through the perioperative period.Abstract:
Perioperative care should involve a comprehensive evaluation of the patient, risk assessment of various complications, suggesting ways to reduce the complications, working on optimization of the patient’s chronic medical conditions and managing them through the perioperative period. Hospitalists have an important role to play as medical consultants in the perioperative period.read more
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Iconographies supplémentaires de l'article : The perioperative surgical home: An innovative, patient-centred and cost-effective perioperative care model
TL;DR: The newly proposed perioperative surgical home (PSH) model of care is a patient-centred micro healthcare system, which begins at the time the decision for surgery is made, is continuous through theperioperative period and concludes 30 days after discharge from the hospital.
References
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Journal ArticleDOI
Derivation and Prospective Validation of a Simple Index for Prediction of Cardiac Risk of Major Noncardiac Surgery
Thomas H. Lee,Edward R. Marcantonio,Carol M. Mangione,Eric J. Thomas,Carisi Anne Polanczyk,E. F. Cook,D. J. Sugarbaker,M. C. Donaldson,Robert Poss,Kalon K.L. Ho,L. E. Ludwig,A. Pedan,Lee Goldman +12 more
TL;DR: In stable patients undergoing nonurgent major noncardiac surgery, this index can identify patients at higher risk for complications and may be useful for identification of candidates for further risk stratification with noninvasive technologies or other management strategies.
Journal ArticleDOI
Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial.
TL;DR: The results highlight the risk in assuming a perioperative beta-blocker regimen has benefit without substantial harm, and the importance and need for large randomised trials in theperioperative setting.
Journal ArticleDOI
Frailty as a Predictor of Surgical Outcomes in Older Patients
Martin A. Makary,Dorry L. Segev,Peter J. Pronovost,Dora Syin,Karen Bandeen-Roche,Purvi Patel,Ryan K. Takenaga,Lara Devgan,Christine G. Holzmueller,Jing Tian,Linda P. Fried +10 more
TL;DR: Frailty independently predicts postoperative complications, length of stay, and discharge to a skilled or assisted-living facility in older surgical patients and enhances conventional risk models.
Journal ArticleDOI
Evidence-based surgical care and the evolution of fast-track surgery.
Henrik Kehlet,Douglas W. Wilmore +1 more
TL;DR: Multimodal evidence-based care within the fast-track methodology significantly enhances postoperative recovery and reduces morbidity, and should therefore be more widely adopted.
Journal ArticleDOI
Development and Evaluation of the Universal ACS NSQIP Surgical Risk Calculator: A Decision Aid and Informed Consent Tool for Patients and Surgeons
Karl Y. Bilimoria,Yaoming Liu,Jennifer L. Paruch,Lynn Zhou,Thomas E. Kmiecik,Clifford Y. Ko,Clifford Y. Ko,Mark E. Cohen +7 more
TL;DR: The ACS NSQIP surgical risk calculator is a decision-support tool based on reliable multi-institutional clinical data, which can be used to estimate the risks of most operations.