| Perioperative management and monitoring in anaesthesia. | |
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MedLine Citation:
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PMID: 14654324 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In recent years, several risk factors for adverse outcome in patients undergoing anaesthesia have been identified. Besides human errors, cardiovascular and respiratory complications are associated with substantial morbidity. Assessment of complications has promoted the introduction of basic physiological monitoring in clinical practice. Whether monitoring directly affects outcome is not proven; however, circumstantial evidence suggests that basic cardiorespiratory monitoring decreases the incidence of serious accidents. Prevention of hypothermia also reduces anaesthesia-related morbidity. Measurement of body temperature is mandatory, and active warming is a simple, effective technique to avoid hypothermia. Evidence is growing that patients with known or suspected coronary artery disease should be treated with beta blockers perioperatively. Whether the type of anaesthesia-ie, general or regional-is relevant to perioperative mortality remains unclear. In subgroups of patients at high risk, neuraxial anaesthesia reduces the rate of respiratory and cardiovascular complications. |
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Authors:
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Wolfgang Buhre; Rolf Rossaint |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Lancet Volume: 362 ISSN: 1474-547X ISO Abbreviation: Lancet Publication Date: 2003 Nov |
Date Detail:
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Created Date: 2003-12-05 Completed Date: 2004-02-09 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 2985213R Medline TA: Lancet Country: England |
Other Details:
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Languages: eng Pagination: 1839-46 Citation Subset: AIM; IM |
Affiliation:
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Department of Anaesthesiology, University Hospital of Aachen, Aachen, Germany. wbuhre@ukaachen.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adrenergic beta-Antagonists
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administration & dosage Anesthesia / methods* Anesthesia, Conduction / methods Anesthesia, General / methods Capnography / methods Coronary Disease / drug therapy Forecasting Humans Hypothermia / prevention & control Intraoperative Care* / methods* Monitoring, Intraoperative / methods*, trends Monitoring, Physiologic / methods, trends Oximetry / methods |
| Chemical | |
Reg. No./Substance:
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0/Adrenergic beta-Antagonists |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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