Perioperative screening and management in elective complex hepatobiliary surgery.
Journal
Current opinion in critical care
ISSN: 1531-7072
Titre abrégé: Curr Opin Crit Care
Pays: United States
ID NLM: 9504454
Informations de publication
Date de publication:
01 04 2022
01 04 2022
Historique:
pubmed:
9
2
2022
medline:
7
5
2022
entrez:
8
2
2022
Statut:
ppublish
Résumé
Preoperative optimization and structured evidence-based perioperative care of a patient undergoing complex hepatobiliary (HPB) surgery are essential components in their management. Apart from advances in surgical technique, these perioperative measures have resulted in substantial reductions in morbidity and mortality. There hence, remains a continued need to have evidence-based updation in their management algorithm to ensure optimal outcomes. We present an evidence-based overview of the preoperative screening, optimization and perioperative management of patients undergoing complex HPB surgery. Perioperative care of these fragile patients is an evidence-based dynamic process. Optimal patient management undergoing HPB surgery requires risk assessment and stratification, and meticulous attention to the correction of underlying conditions. Despite this, postoperative morbidity remains relatively high and requires a cohesive multidisciplinary approach to minimize complications.
Identifiants
pubmed: 35131993
doi: 10.1097/MCC.0000000000000922
pii: 00075198-202204000-00017
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
221-228Informations de copyright
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
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