A practical approach to perioperative risk optimisation for non-cardiac surgery
Journal – Southern African Journal of Anaesthesia and Analgesia
Article type – Other
Publication date – Nov – 2021
Authors – I Cassimjee
Keywords – cardiac assessment, Non-cardiac surgery, preoperative evaluation, preoperative surgery
Open access – Yes
Speciality – Cardiothoracic surgery
World region Southern Africa
Country: South Africa
Language – English
Submitted to the One Surgery Index on November 29, 2021 at 7:38 am
The combination of careful perioperative considerations, less invasive surgeries and the liberal use of neuro-axial techniques has decreased perioperative major adverse cardiac events (MACE) and overall mortality in vascular surgical patients.
Despite this, the recently published ASOS-2 study still demonstrated a 1% mortality even with intensive postoperative monitoring for a range of patients and procedures in lower-middle income countries (LMICs).1 As surgeons, our outcome measures are sometimes different to other perioperative physicians (primarily anaesthesiologists and cardiologists). Our outcomes are not limited to the myocardial function or the safe awakening after anaesthesia, but also incorporates medium term outcomes such as postoperative infections, wound healing, returns to the operating theatre and restoration of pre-morbid functional capacity.
OSI Number – 21369