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Life-threatening perioperative anesthetic complications: major issues surrounding perioperative morbidity and mortality

Perioperative morbidity and mortality related to anesthesia involves multiple factors. Patient characteristics and comorbidities play a role in many of these events, highlighting the importance of preoperative screening. While optimization of patient comorbidities is not always possible, having data...

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Autores principales: Steadman, Joy, Catalani, Blas, Sharp, Christopher, Cooper, Lebron
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887586/
https://www.ncbi.nlm.nih.gov/pubmed/29766107
http://dx.doi.org/10.1136/tsaco-2017-000113
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author Steadman, Joy
Catalani, Blas
Sharp, Christopher
Cooper, Lebron
author_facet Steadman, Joy
Catalani, Blas
Sharp, Christopher
Cooper, Lebron
author_sort Steadman, Joy
collection PubMed
description Perioperative morbidity and mortality related to anesthesia involves multiple factors. Patient characteristics and comorbidities play a role in many of these events, highlighting the importance of preoperative screening. While optimization of patient comorbidities is not always possible, having data regarding those comorbidities can prove life-saving. Equipment and medication considerations also enter into untoward outcomes such as anesthetic interventions outside of the traditional operating room where resources are sometimes lacking and haste creates errors. Ultimately, when surgeons and anesthesiologists cooperate in patient care, communicating concisely but thoroughly, patients are more likely to do well. The language of surgeons is that of diagnosis requiring a surgical intervention, while anesthesiologists are discussing patient comorbidities impacted by anesthetic medications, positive pressure ventilation, neuraxial techniques, ramifications of patient positioning, effects of opiates and so on. Because all of the considerations combine in determining outcomes, it is incumbent on both surgeons and anesthesiologists to understand those elements leading to severe morbid events as well as death. This review touches on many of the most important factors.
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spelling pubmed-58875862018-05-14 Life-threatening perioperative anesthetic complications: major issues surrounding perioperative morbidity and mortality Steadman, Joy Catalani, Blas Sharp, Christopher Cooper, Lebron Trauma Surg Acute Care Open Review Perioperative morbidity and mortality related to anesthesia involves multiple factors. Patient characteristics and comorbidities play a role in many of these events, highlighting the importance of preoperative screening. While optimization of patient comorbidities is not always possible, having data regarding those comorbidities can prove life-saving. Equipment and medication considerations also enter into untoward outcomes such as anesthetic interventions outside of the traditional operating room where resources are sometimes lacking and haste creates errors. Ultimately, when surgeons and anesthesiologists cooperate in patient care, communicating concisely but thoroughly, patients are more likely to do well. The language of surgeons is that of diagnosis requiring a surgical intervention, while anesthesiologists are discussing patient comorbidities impacted by anesthetic medications, positive pressure ventilation, neuraxial techniques, ramifications of patient positioning, effects of opiates and so on. Because all of the considerations combine in determining outcomes, it is incumbent on both surgeons and anesthesiologists to understand those elements leading to severe morbid events as well as death. This review touches on many of the most important factors. BMJ Publishing Group 2017-08-28 /pmc/articles/PMC5887586/ /pubmed/29766107 http://dx.doi.org/10.1136/tsaco-2017-000113 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Review
Steadman, Joy
Catalani, Blas
Sharp, Christopher
Cooper, Lebron
Life-threatening perioperative anesthetic complications: major issues surrounding perioperative morbidity and mortality
title Life-threatening perioperative anesthetic complications: major issues surrounding perioperative morbidity and mortality
title_full Life-threatening perioperative anesthetic complications: major issues surrounding perioperative morbidity and mortality
title_fullStr Life-threatening perioperative anesthetic complications: major issues surrounding perioperative morbidity and mortality
title_full_unstemmed Life-threatening perioperative anesthetic complications: major issues surrounding perioperative morbidity and mortality
title_short Life-threatening perioperative anesthetic complications: major issues surrounding perioperative morbidity and mortality
title_sort life-threatening perioperative anesthetic complications: major issues surrounding perioperative morbidity and mortality
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887586/
https://www.ncbi.nlm.nih.gov/pubmed/29766107
http://dx.doi.org/10.1136/tsaco-2017-000113
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