Preoperative assessment – Related resources
26.02.2016 • Sonuncu dəyişiklik 28.09.2015
This article is created and updated by the EBMG Editorial Team
Cochrane reviews
- Preoperative physical therapy appears to reduce postoperative pulmonary complications (atelectasis and pneumonia) and length of hospital stay in patients undergoing elective cardiac surgery .
- Preoperative statin therapy in cardiac surgery patients appears to reduce post-operative atrial fibrillation.
- Fluid intake between 1.5 and 3 hours before anaesthesia does not appear to result in an increased risk of aspiration, regurgitation, and related morbidity or increased gastric volume or increased gastric pH compared with the standard 'nil by mouth from midnight' fasting policy
- Day-case elective laparoscopic cholecystectomy appears to be safe and effective intervention in selected patients (with no or minimal systemic disease and within easy reach of the hospital) with symptomatic gallstones .
- Early feeding after major abdominal gynaecologic surgery may be safe, but appears to increase the chance of having nausea. It could reduce the length of hospital stay .
- There is insufficient evidence on the effectiveness of incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery .
- There is insufficient evidence to support strict glycaemic control versus conventional management for the prevention of surgical site infections (SSIs) .
- Alpha-2 adrenergic agonists may decrease mortality and myocardial infarction (MI) during vascular surgery. These potential benefits are counterbalanced by increased risks for perioperative hypotension and bradycardia .
- Infraclavicular block appears to be as effective and as safe as other techniques of brachial plexus blockade for providing surgical anaesthesia of the lower arm .
Other evidence summaries
- Psychoeducational care provided to adult surgical patients appears to result in beneficial effects for recovery, pain, psychological distress, and length of hospital stay .
- Regional anaesthesia reduces postoperative pneumonia compared with general anaesthesia .
Clinical guidelines
- ESC Guidelines for pre-operative cardiac risk assessment and perioperative cardiac management in non-cardiac surgery .