Document Detail

Perioperative management and monitoring in anaesthesia.
MedLine Citation:
PMID:  14654324     Owner:  NLM     Status:  MEDLINE    
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.
Wolfgang Buhre; Rolf Rossaint
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Lancet     Volume:  362     ISSN:  1474-547X     ISO Abbreviation:  Lancet     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-12-05     Completed Date:  2004-02-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  England    
Other Details:
Languages:  eng     Pagination:  1839-46     Citation Subset:  AIM; IM    
Department of Anaesthesiology, University Hospital of Aachen, Aachen, Germany.
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MeSH Terms
Adrenergic beta-Antagonists / administration & dosage
Anesthesia / methods*
Anesthesia, Conduction / methods
Anesthesia, General / methods
Capnography / methods
Coronary Disease / drug therapy
Hypothermia / prevention & control
Intraoperative Care* / methods*
Monitoring, Intraoperative / methods*,  trends
Monitoring, Physiologic / methods,  trends
Oximetry / methods
Reg. No./Substance:
0/Adrenergic beta-Antagonists

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