The concept of peri-operative medicine to prevent major adverse events and improve outcome in surgical patients A narrative review

Pinto, Bernardo BollenGeneva Univ Hosp, Switzerland; Geneva Perioperat Basic Translat and Clin Res Grp, Switzerland (author)

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 Perioperative 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.

Chew, MichelleLinköpings universitet,Medicinska fakulteten,Avdelningen för läkemedelsforskning,Region Östergötland, ANOPIVA US(Swepub:liu)micch61 (author)
Buse, Giovanna LuratiUniv Hosp Dusseldorf, Germany (author)
Walder, BernhardGeneva Univ Hosp, Switzerland; Geneva Perioperat Basic Translat and Clin Res Grp, Switzerland (author)
Geneva Univ Hosp, Switzerland; Geneva Perioperat Basic Translat and Clin Res Grp, SwitzerlandMedicinska fakulteten (creator_code:org_t)

In:European Journal of Anaesthesiology: LIPPINCOTT WILLIAMS & WILKINS36:12, s. 889-9030265-02151365-2346

By the author/editor: Pinto, Bernardo ...; Chew, Michelle; Buse, Giovanna L ...; Walder, Bernhard

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Anesthesiology a ...

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