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Preoperative evaluation of the adult patient undergoing non-cardiac surgery: guidelines from the European Society of Anaesthesiology

Stefan De Hert UGent, Georgina Imberger, John Carlisle, Pierre Diemunsch, Gerhard Fritsch, Iain Moppett, Maurizio Solca, Sven Staender, Frank Wappler, Andrew Smith, et al. (2011) EUROPEAN JOURNAL OF ANAESTHESIOLOGY. 28(10). p.684-722
abstract
The purpose of these guidelines on the preoperative evaluation of the adult non-cardiac surgery patient is to present recommendations based on available relevant clinical evidence. The ultimate aims of preoperative evaluation are two-fold. First, we aim to identify those patients for whom the perioperative period may constitute an increased risk of morbidity and mortality, aside from the risks associated with the underlying disease. Second, this should help us to design perioperative strategies that aim to reduce additional perioperative risks. Very few well performed randomised studies on the topic are available and many recommendations rely heavily on expert opinion and are adapted specifically to the healthcare systems in individual countries. This report aims to provide an overview of current knowledge on the subject with an assessment of the quality of the evidence in order to allow anaesthetists all over Europe to integrate - wherever possible - this knowledge into daily patient care. The Guidelines Committee of the European Society of Anaesthesiology (ESA) formed a task force with members of subcommittees of scientific subcommittees and individual members of the ESA. Electronic databases were searched from the year 2000 until July 2010 without language restrictions. These searches produced 15 425 abstracts. Relevant systematic reviews with meta-analyses, randomised controlled trials, cohort studies, case-control studies and cross-sectional surveys were selected. The Scottish Intercollegiate Guidelines Network grading system was used to assess the level of evidence and to grade recommendations. The final draft guideline was posted on the ESA website for 4 weeks and the link was sent to all ESA members, individual or national (thus including most European national anaesthesia societies). Comments were collated and the guidelines amended as appropriate. When the final draft was complete, the Guidelines Committee and ESA Board ratified the guidelines.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
OBSTRUCTIVE SLEEP-APNEA, ACUTE KIDNEY INJURY, DIFFICULT TRACHEAL INTUBATION, RANDOMIZED CONTROLLED-TRIAL, LIP BITE TEST, CHRONIC RENAL-INSUFFICIENCY, GELATINASE-ASSOCIATED LIPOCALIN, PERIPHERAL ARTERIAL-DISEASE, MULTIVARIATE RISK INDEX, MORBIDLY OBESE-PATIENTS
journal title
EUROPEAN JOURNAL OF ANAESTHESIOLOGY
Eur. J. Anaesthesiol.
volume
28
issue
10
pages
684 - 722
Web of Science type
Article
Web of Science id
000294800900005
JCR category
ANESTHESIOLOGY
JCR impact factor
2.231 (2011)
JCR rank
12/28 (2011)
JCR quartile
2 (2011)
ISSN
0265-0215
DOI
10.1097/EJA.0b013e3283499e3b
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1904407
handle
http://hdl.handle.net/1854/LU-1904407
date created
2011-09-20 12:08:52
date last changed
2016-12-19 15:46:20
@article{1904407,
  abstract     = {The purpose of these guidelines on the preoperative evaluation of the adult non-cardiac surgery patient is to present recommendations based on available relevant clinical evidence. The ultimate aims of preoperative evaluation are two-fold. First, we aim to identify those patients for whom the perioperative period may constitute an increased risk of morbidity and mortality, aside from the risks associated with the underlying disease. Second, this should help us to design perioperative strategies that aim to reduce additional perioperative risks. Very few well performed randomised studies on the topic are available and many recommendations rely heavily on expert opinion and are adapted specifically to the healthcare systems in individual countries. This report aims to provide an overview of current knowledge on the subject with an assessment of the quality of the evidence in order to allow anaesthetists all over Europe to integrate - wherever possible - this knowledge into daily patient care. The Guidelines Committee of the European Society of Anaesthesiology (ESA) formed a task force with members of subcommittees of scientific subcommittees and individual members of the ESA. Electronic databases were searched from the year 2000 until July 2010 without language restrictions. These searches produced 15 425 abstracts. Relevant systematic reviews with meta-analyses, randomised controlled trials, cohort studies, case-control studies and cross-sectional surveys were selected. The Scottish Intercollegiate Guidelines Network grading system was used to assess the level of evidence and to grade recommendations. The final draft guideline was posted on the ESA website for 4 weeks and the link was sent to all ESA members, individual or national (thus including most European national anaesthesia societies). Comments were collated and the guidelines amended as appropriate. When the final draft was complete, the Guidelines Committee and ESA Board ratified the guidelines.},
  author       = {De Hert, Stefan and Imberger, Georgina and Carlisle, John and Diemunsch, Pierre and Fritsch, Gerhard and Moppett, Iain and Solca, Maurizio and Staender, Sven  and Wappler, Frank and Smith, Andrew and Task Force on Preoperative Evaluation of the Adult Noncardiac Surgery Patient of the European Society of Anaesthesiology,  },
  issn         = {0265-0215},
  journal      = {EUROPEAN JOURNAL OF ANAESTHESIOLOGY},
  keyword      = {OBSTRUCTIVE SLEEP-APNEA,ACUTE KIDNEY INJURY,DIFFICULT TRACHEAL INTUBATION,RANDOMIZED CONTROLLED-TRIAL,LIP BITE TEST,CHRONIC RENAL-INSUFFICIENCY,GELATINASE-ASSOCIATED LIPOCALIN,PERIPHERAL ARTERIAL-DISEASE,MULTIVARIATE RISK INDEX,MORBIDLY OBESE-PATIENTS},
  language     = {eng},
  number       = {10},
  pages        = {684--722},
  title        = {Preoperative evaluation of the adult patient undergoing non-cardiac surgery: guidelines from the European Society of Anaesthesiology},
  url          = {http://dx.doi.org/10.1097/EJA.0b013e3283499e3b},
  volume       = {28},
  year         = {2011},
}

Chicago
De Hert, Stefan, Georgina Imberger, John Carlisle, Pierre Diemunsch, Gerhard Fritsch, Iain Moppett, Maurizio Solca, et al. 2011. “Preoperative Evaluation of the Adult Patient Undergoing Non-cardiac Surgery: Guidelines from the European Society of Anaesthesiology.” European Journal of Anaesthesiology 28 (10): 684–722.
APA
De Hert, Stefan, Imberger, G., Carlisle, J., Diemunsch, P., Fritsch, G., Moppett, I., Solca, M., et al. (2011). Preoperative evaluation of the adult patient undergoing non-cardiac surgery: guidelines from the European Society of Anaesthesiology. EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 28(10), 684–722.
Vancouver
1.
De Hert S, Imberger G, Carlisle J, Diemunsch P, Fritsch G, Moppett I, et al. Preoperative evaluation of the adult patient undergoing non-cardiac surgery: guidelines from the European Society of Anaesthesiology. EUROPEAN JOURNAL OF ANAESTHESIOLOGY. 2011;28(10):684–722.
MLA
De Hert, Stefan, Georgina Imberger, John Carlisle, et al. “Preoperative Evaluation of the Adult Patient Undergoing Non-cardiac Surgery: Guidelines from the European Society of Anaesthesiology.” EUROPEAN JOURNAL OF ANAESTHESIOLOGY 28.10 (2011): 684–722. Print.