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• W2073497275 abstract "Studies over many years have demonstrated that preoptimization and attention to appropriate perioperative care is associated with a substantial decrease in surgical mortality. This review discusses ways in which patient preparation and perioperative support can minimize surgical mortality and morbidity.Scoring systems continue to be developed in order to classify categories of surgical risk. Objective physiologically based assessments can also identify high-risk groups of patients. Debate continues over the indications for specific interventions such as beta-blockade or statin therapy. There is continuing interest in perioperative optimization of oxygen delivery. A multimodality approach paying attention to a range of possible interventions appears to be beneficial. Audit, training, experience and a sufficient volume of procedures are all factors associated with surgical mortality.The provision of a high-quality service throughout the perioperative period is vital for a successful outcome. Patients need to be assessed well before major elective surgery to determine if they fall into a high-risk category. Some patients may benefit from a change in management. Postoperatively, critical-care support should be available backed by level 1 (enhanced ward) care with input from outreach or medical emergency teams 24 hours per day, seven days a week." @default.
• W2073497275 created "2016-06-24" @default.
• W2073497275 creator A5013321217 @default.
• W2073497275 creator A5052211368 @default.
• W2073497275 date "2006-04-01" @default.
• W2073497275 modified "2023-10-16" @default.
• W2073497275 title "Excellent anaesthesia needs patient preparation and postoperative support to influence outcome" @default.
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• W2073497275 doi "https://doi.org/10.1097/01.aco.0000192785.85763.5f" @default.
• W2073497275 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/16552227" @default.
• W2073497275 hasPublicationYear "2006" @default.
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