Journal of anesthesia
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Journal of anesthesia · Aug 2023
ReviewFrailty: the perioperative and anesthesia challenges of an emerging pandemic.
Frailty is a complex and multisystem biological process characterized by reductions in physiological reserve. It is an increasingly common phenomena in the surgical population, and significantly impacts postoperative recovery. ⋯ We will also discuss the different models of postoperative care, including enhanced recovery pathways, as well as elective critical care admission. With discoveries of new effective interventions, and advances in healthcare information technology, optimized pathways could be developed to provide the best care possible that meets the challenges of perioperative frailty.
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Journal of anesthesia · Aug 2023
Meta AnalysisEffect of active warming on perioperative cardiovascular outcomes: a systematic review and meta-analysis of randomized controlled trials.
The objective of this study was to provide an updated review on the active warming effects on major adverse cardiac events, 30-day all-cause mortality, and myocardial injury after noncardiac surgery. ⋯ Compared to routine perioperative care, we found that active warming methods are not necessary for cardiovascular prevention in patients undergoing noncardiac surgery.