WFRF:(Pinto Bernardo Bollen)
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The concept of peri-operative medicine to prevent major adverse events and improve outcome in surgical patients A narrative review
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- Pinto, Bernardo Bollen (author)
- Geneva Univ Hosp, Switzerland; Geneva Perioperat Basic Translat and Clin Res Grp, Switzerland
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- Chew, Michelle (author)
- Linköpings universitet,Medicinska fakulteten,Avdelningen för läkemedelsforskning,Region Östergötland, ANOPIVA US
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- Buse, Giovanna Lurati (author)
- Univ Hosp Dusseldorf, Germany
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- LIPPINCOTT WILLIAMS & WILKINS, 2019
- 2019
- English.
- In: European Journal of Anaesthesiology. - : LIPPINCOTT WILLIAMS & WILKINS. - 0265-0215 .- 1365-2346. ; 36:12, s. 889-903
- Research review (peer-reviewed)
Abstract
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
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