Home > Riviste > Minerva Anestesiologica > Fascicoli precedenti > Minerva Anestesiologica 2017 February;83(2) > Minerva Anestesiologica 2017 February;83(2):214-8

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Publication history
Estratti
Per citare questo articolo

MINERVA ANESTESIOLOGICA

Rivista di Anestesia, Rianimazione, Terapia Antalgica e Terapia Intensiva


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,623


eTOC

 

EXPERTS’ OPINION  FREEfree


Minerva Anestesiologica 2017 February;83(2):214-8

DOI: 10.23736/S0375-9393.16.11564-0

Copyright © 2016 EDIZIONI MINERVA MEDICA

lingua: Inglese

Preoperative functional assessment and optimization in surgical patient: changing the paradigm

Francesco CARLI, Enrico M. MINNELLA

Department of Anesthesia, McGill University Health Centre, Montreal, QC, Canada


PDF  


Functional capacity has been shown to be a major determinant of surgical outcome since it is related to postoperative complications, activity and daily function, level of independence and quality of life. Anesthesiologists as “perioperative physicians”, can identify those scoring systems that assess functional capacity, whether from the basic physical history and walk test to the most complex such as cardiopulmonary exercise testing, and formulate intraoperative and postoperative interventions (rehabilitation) to minimize the impact of surgery on the recovery process. Nevertheless, the preoperative period can be used as an opportune time to increase functional reserve in anticipation of surgery, thus enabling the patient to better withstand the metabolic cost of surgical stress (prehabilitation). There is a compelling evidence that prehabilitation programs, including physical exercise, nutritional optimization and relaxation strategies, can enhance preoperative physiological reserve, however further studies are needed to identify the most appropriate protocols for those patients at risk, and assess the impact of such programs on clinically meaningful surgical outcomes.


KEY WORDS: Surgery - Neoplasms - Preoperative care

inizio pagina

Publication History

Issue published online: February 9, 2017
Article first published online: October 6, 2016
Manuscript accepted: October 5, 2016
Manuscript received: July 12, 2016

Per citare questo articolo

Carli F, Minnella EM. Preoperative functional assessment and optimization in surgical patient: changing the paradigm. Minerva Anestesiol 2017;83:214-8. DOI: 10.23736/S0375-9393.16.11564-0

Corresponding author e-mail

franco.carli@mcgill.ca