Preoperative assessment of adults undergoing elective noncardiac surgery
European Journal of Anaesthesiology,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 1, 2024
BACKGROUND
When
considering
whether
a
patient
is
fit
for
surgery,
comprehensive
assessment
represents
the
first
step
an
anaesthetist
to
evaluate
risks
associated
with
procedure
and
patient's
underlying
diseases,
optimise
(whenever
possible)
perioperative
surgical
journey.
These
guidelines
from
European
Society
of
Anaesthesiology
Intensive
Care
Medicine
(ESAIC)
update
previous
provide
new
evidence
on
existing
emerging
topics
that
consider
different
aspects
path.
DESIGN
A
literature
review
focused
organisation,
clinical
facets,
optimisation
planning.
The
methodological
quality
studies
included
was
evaluated
using
GRADE
(Grading
Recommendations,
Assessment,
Development,
Evaluation)
methodology.
Delphi
process
agreed
wording
recommendations,
practice
statements
(CPS)
supported
by
minimal
evidence.
draft
version
published
ESAIC
website
4
weeks,
link
distributed
all
members,
both
individual
national,
encompassing
most
national
anaesthesia
societies.
Feedback
gathered
incorporated
into
accordingly.
Following
finalisation
draft,
Guidelines
Committee
Board
officially
approved
guidelines.
RESULTS
In
phase
update,
17
668
titles
were
initially
identified.
After
removing
duplicates
restricting
search
period
1
January
2018
3
May
2023,
number
reduced
16
774,
which
then
screened,
yielding
414
abstracts.
Among
these,
267
relevant
abstracts
identified
204
appropriate
selected
analysis.
Additionally,
study
considered
reviews,
meta-analyses,
9
previously
guidelines,
58
prospective
cohort
83
retrospective
studies.
guideline
provides
55
evidence-based
recommendations
voted
process,
reaching
solid
consensus
(>90%
agreement).
DISCUSSION
This
has
covered
organisational
preoperative
more
objective
evaluation
patients
high
risk
postoperative
complications
requiring
intensive
care.
Telemedicine
predictive
scores
biomarkers
should
guide
in
selecting
blood
tests,
x-rays,
so
forth
each
patient,
allowing
assess
suggest
anaesthetic
plan.
CONCLUSION
Each
have
tailored
their
fitness
undergo
procedures
involvement
anaesthetist.
anaesthetist's
role
essential
this
obtain
broad
vision
conditions,
coordinate
care
help
reach
informed
decision.
Язык: Английский
Gender-Specific Impacts of the COVID-19 Pandemic on Orthopedic and Traumatology Care: An Analysis of Hospital Admissions and Length of Stay
Healthcare,
Год журнала:
2024,
Номер
12(20), С. 2031 - 2031
Опубликована: Окт. 12, 2024
Background:
Understanding
gender
disparities
in
healthcare
outcomes
is
crucial,
especially
during
crises
like
the
COVID-19
pandemic.
The
absence
of
gender-specific
data
on
hospital
admissions
and
lengths
stay
for
orthopedic
traumatology
patients
limits
precision
current
analyses,
making
conclusions
speculative.
Objective:
This
study
aims
to
highlight
potential
insights
that
could
be
gained
from
gender-disaggregated
data,
illustrating
how
a
more
precise
gender-based
analysis
reveal
trauma
care
Materials
Methods:
A
robust
would
require
including
variables
such
as
admission
rates,
stay,
injury
types,
access
care,
along
with
factors
age
socioeconomic
status.
In
hypothetical
framework
was
developed
based
known
disparities,
using
general
trends
project
possible
impacts.
Results:
Without
it
remains
challenging
identify
specific
differences
accurately.
Hypothetical
scenarios
suggest
durations,
influenced
by
increased
caregiving
responsibilities
women
or
differential
Conclusions:
To
accurately
assess
pandemic,
future
studies
must
prioritize
collection
use
data.
approach
essential
drawing
reliable
developing
targeted
interventions
address
inequities
effectively.
Язык: Английский
Prevalence of SARS-CoV-2 infection in asymptomatic preoperative patients
International Journal of Community Medicine and Public Health,
Год журнала:
2023,
Номер
10(11), С. 3979 - 3983
Опубликована: Окт. 6, 2023
Background:
Surgeries
were
performed
on
emergency
and
trauma
patients
as
well
oncology
in
many
centres
during
the
pandemic
period.
Screening
of
asymptomatic
preoperative
is
very
important
not
only
protecting
healthcare
personnel
but
also
preventing
nosocomial
infections
with
deficient
or
suppressed
immune
systems.
The
aim
current
study
was
to
retrospectively
evaluate
prevalence
SARS-CoV-2
infection
Methods:
A
total
3773
among
23385
evaluated
Rt-qPCR
test.
DS
CORONEX
COVID-19
PCR
test
(Ver.2.0,
Bio
nano
technology,
Turkiye)
kit
used
for
RT-qPCR.
targets
N
Orf1ab
gene
region
specific
SARS-CoV-2.
Results:
positivity
significantly
lower
patient
group
than
positive
whose
routine
results
other
reasons
(2.3%
vs
23.1%;
p<0.0005).
Distribution
according
clinics
7.1%
thoracic
surgery,
3.7%
neurosurgery,
3.5%
otolaryngology,
2.6%
general
surgery
2.4%
urology
clinic,
respectively.
Conclusions:
this
rate
never
excludes
pre-screening
patients.
Applying
tests
significant
systems
infections.
Язык: Английский