How to better identify patients at high risk of postoperative complications?

Talmor, Daniel; Kelly, Barry

doi:10.1097/mcc.0000000000000445

Cited by 22 publications

(16 citation statements)

References 41 publications

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“…These patients are medically frail and intuitively are less likely to cope with the physiologic stress of preparation, endoscopy, and anesthesia. Similar observations are well established in the adult general surgical and endoscopic literature albeit with a preponderance of cardiopulmonary disease on risk stratification by medical comorbidity . This ultimately forms the basis of the ASA classification that predicts anesthesia related adverse outcomes…”

Section: Discussionsupporting

confidence: 65%

Pediatric Elective Diagnostic Procedure Complications: A Multicenter Cohort Analysis

Attard

Miller

Lee

et al. 2018

J of Gastro and Hepatol

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Section: Discussionsupporting

confidence: 65%

Pediatric Elective Diagnostic Procedure Complications: A Multicenter Cohort Analysis

Attard

Miller

Lee

et al. 2018

J of Gastro and Hepatol

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“…A total of 98 consecutive patients with a ARISCAT score of 41 (34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49) were included in the study. LUS was feasible in all patients.…”

Section: Resultsmentioning

confidence: 99%

“…The electronically generated eCART score was more accurate for predicting in-hospital cardiac arrest, transfer to an intensive care unit and death compared to the MEWS in general ward patients. 39 Integrating technology can contribute to detect patients who are clinically deteriorating, showing current early warning and intervention systems can be further improved.…”

Section: Early Warning Scoresmentioning

confidence: 99%

Continuous remote monitoring to detect critical early warning scores in patients after abdominal surgery

Touw¹

2019

http://isrctn.com/

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Link to publication in VU Research Portal citation for published version (APA)Touw, H. R. W. (2019). Continuous remote monitoring and point-of-care lung ultrasound to detect clinical deterioration and postoperative complications. General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal ? Contents Chapter 1 10 General introduction Chapter 2 27Postanesthesia care by remote monitoring of vital signs in surgical wards Chapter 3 43Continuous remote monitoring to detect critical early warning scores in patients after abdominal surgery Chapter 4 65Continuous remote monitoring to detect critical early warning scores after intensive care unit discharge: an explorative observational study Chapter 5 83Photoplethysmography respiratory rate monitoring in patients receiving procedural sedation and analgesia for upper gastrointestinal endoscopy Chapter 6 101Lung ultrasound: routine practice for the next generation of internists Chapter 7 119Lung ultrasound: the need of an adequate training for next generation of internists.Letter to the editor from Trovato and Musumeci Response to the letter to the editor Chapter 8 123Diagnostic accuracy of chest radiograph, and when concomitantly studied lung ultrasound, in critically Ill patients with respiratory symptoms: a systematic review and meta-analysis Chapter 9Lung ultrasound compared with chest X-ray in diagnosing postoperative pulmonary complications following cardiothoracic surgery: a prospective observational study Chapter 10Ultrasound for detecting postoperative pulmonary complications.Letter to the editor from Rivett and Broughton Response to the letter to the editor Chapter 11Routine lung ultrasound to detect postoperative pulmonary complications following major abdominal surgery: a prospective observational feasibility study Chapter 12General conclusions, discussion and future perspectives English summaryNederlandse samenvatting List of publications Dankwoord BiographyChapter 1 General introduction Perioperative careMore than 230 million surgical procedures are undertaken worldwide each year, with more than 15 million procedures in the Netherlands. 1,2 Fortunately, the mortality risk for patients undergoing surgery have decreased tremendously due to improved management of perioperative patients. 3 In particular, the Netherlands is one of the safest countries in the world for patients to be operated, with an estimated total perioperative mortality of up to 2%. 2,4 Recently, the preoperative score to predict postoperative mortalit...

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“…As only~10% of all surgical patients account for >80% of postoperative deaths, 13 identifying these high-risk patients before surgery is key to enable treating them using perioperative GDT. Although there are multiple scores for predicting the risk of postoperative complications, 14 defining the 'highrisk patient' can be subjective and complex because multiple patient-and surgery-related factors contribute to the risk of adverse postoperative outcomes. Indicators for high patient risk include age, cardiovascular or pulmonary comorbidities, and impaired preoperative functional capacity.…”

Section: Target Populationmentioning

confidence: 99%

“…14 Surgical risk depends on the urgency, extent, invasiveness, and complexity of the procedure, and is especially high in patients having emergency, major abdominal, cardiac, or vascular surgery. 14 Perioperative GDT reduces postoperative morbidity and mortality compared with standard care mainly in high-risk patients having major surgery (i.e. in patients with high patient risk, high surgical risk, or both).…”

Section: Target Populationmentioning

confidence: 99%

The ‘5 Ts’ of perioperative goal-directed haemodynamic therapy

Saugel

Kouz

Scheeren

2019

British Journal of Anaesthesia

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Effect of a perioperative, cardiac output-guided hemodynamic therapy algorithm on outcomes following major gastrointestinal surgery: a randomized clinical trial and systematic review. JAMA 2014; 311: 2181e90 9. Ackland GL, Iqbal S, Paredes LG, et al. Individualised oxygen delivery targeted haemodynamic therapy in highrisk surgical patients: a multicentre, randomised, double-blind, controlled, mechanistic trial. Lancet Respir Med 2015; 3: 33e41 10. Sessler DI, Meyhoff CS, Zimmerman NM, et al. Perioddependent associations between hypotension during and for four days after noncardiac surgery and a composite of myocardial infarction and death: a substudy of the POISE-2 trial.

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How to better identify patients at high risk of postoperative complications?

Cited by 22 publications

References 41 publications

Pediatric Elective Diagnostic Procedure Complications: A Multicenter Cohort Analysis

Pediatric Elective Diagnostic Procedure Complications: A Multicenter Cohort Analysis

Continuous remote monitoring to detect critical early warning scores in patients after abdominal surgery

The ‘5 Ts’ of perioperative goal-directed haemodynamic therapy

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