Long-term Outcome After Anesthesia and Surgery

Remarks on the Biology of a Newly Emerging Principle in Perioperative Care

Research output: Contribution to journalReview article

15 Citations (Scopus)

Abstract

There is a strong possibility that the risk from anesthesia and surgery carries over from the immediate perioperative period to more remote time points. This extended risk seems to influence the progression, severity, and complication rate of certain chronic illnesses. With the recognition that the perioperative process could be responsible for later adverse events comes the need to reassess existing patient safety models, because some of the risk could be preventable. In the meantime, we must strive to improve short- and long-term outcomes by expanding our efforts to reduce disease activity preoperatively, to control the surgical stress response and infection rate, and to use tissue-preserving surgical techniques.

Original languageEnglish (US)
Pages (from-to)255-278
Number of pages24
JournalAnesthesiology Clinics of North America
Volume24
Issue number2
DOIs
StatePublished - Jun 1 2006

Fingerprint

Perioperative Care
Anesthesia
Perioperative Period
Patient Safety
Chronic Disease
Infection

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

@article{0d3e3ce09f38431b93f4d01d6edff9d8,
title = "Long-term Outcome After Anesthesia and Surgery: Remarks on the Biology of a Newly Emerging Principle in Perioperative Care",
abstract = "There is a strong possibility that the risk from anesthesia and surgery carries over from the immediate perioperative period to more remote time points. This extended risk seems to influence the progression, severity, and complication rate of certain chronic illnesses. With the recognition that the perioperative process could be responsible for later adverse events comes the need to reassess existing patient safety models, because some of the risk could be preventable. In the meantime, we must strive to improve short- and long-term outcomes by expanding our efforts to reduce disease activity preoperatively, to control the surgical stress response and infection rate, and to use tissue-preserving surgical techniques.",
author = "Meiler, {Steffen E}",
year = "2006",
month = "6",
day = "1",
doi = "10.1016/j.atc.2006.03.002",
language = "English (US)",
volume = "24",
pages = "255--278",
journal = "Anesthesiology Clinics of North America",
issn = "0889-8537",
publisher = "W.B. Saunders Ltd",
number = "2",

}

TY - JOUR

T1 - Long-term Outcome After Anesthesia and Surgery

T2 - Remarks on the Biology of a Newly Emerging Principle in Perioperative Care

AU - Meiler, Steffen E

PY - 2006/6/1

Y1 - 2006/6/1

N2 - There is a strong possibility that the risk from anesthesia and surgery carries over from the immediate perioperative period to more remote time points. This extended risk seems to influence the progression, severity, and complication rate of certain chronic illnesses. With the recognition that the perioperative process could be responsible for later adverse events comes the need to reassess existing patient safety models, because some of the risk could be preventable. In the meantime, we must strive to improve short- and long-term outcomes by expanding our efforts to reduce disease activity preoperatively, to control the surgical stress response and infection rate, and to use tissue-preserving surgical techniques.

AB - There is a strong possibility that the risk from anesthesia and surgery carries over from the immediate perioperative period to more remote time points. This extended risk seems to influence the progression, severity, and complication rate of certain chronic illnesses. With the recognition that the perioperative process could be responsible for later adverse events comes the need to reassess existing patient safety models, because some of the risk could be preventable. In the meantime, we must strive to improve short- and long-term outcomes by expanding our efforts to reduce disease activity preoperatively, to control the surgical stress response and infection rate, and to use tissue-preserving surgical techniques.

UR - http://www.scopus.com/inward/record.url?scp=33745920987&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33745920987&partnerID=8YFLogxK

U2 - 10.1016/j.atc.2006.03.002

DO - 10.1016/j.atc.2006.03.002

M3 - Review article

VL - 24

SP - 255

EP - 278

JO - Anesthesiology Clinics of North America

JF - Anesthesiology Clinics of North America

SN - 0889-8537

IS - 2

ER -