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Title

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

Authors
Chew, Michelle
Lurati Buse, Giovanna
Published in European Journal of Anaesthesiology. 2019, vol. 36, no. 12, p. 889-903
Abstract : 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.
Keywords Critical Pathways/organization & administrationHumansPatient Care Team/organization & administrationPatient-Centered Care/methods/organization & administrationPerioperative Care/methodsPostoperative Complications/etiology/prevention & controlQuality of LifeSurgical ProceduresOperative/adverse effectsTreatment Outcome
Identifiers
PMID: 31453818
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Article (Published version) (388 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Research group Groupe de recherche en hémodynamique (913)
Citation
(ISO format)
BOLLEN PINTO, Bernardo et al. The concept of peri-operative medicine to prevent major adverse events and improve outcome in surgical patients: A narrative review. In: European Journal of Anaesthesiology, 2019, vol. 36, n° 12, p. 889-903. doi: 10.1097/EJA.0000000000001067 https://archive-ouverte.unige.ch/unige:143237

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Deposited on : 2020-10-17

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