The perioperative management of frailty in patients presenting for vascular surgery

IF 0.3 Q4 ANESTHESIOLOGY

Anaesthesia and Intensive Care Medicine Pub Date : 2025-02-01 DOI:10.1016/j.mpaic.2024.11.004

Reema Ayyash, Nallavenkat Senthilvel, Joanne Knight, Andrew D Kane

引用次数: 0

Abstract

The volume of patients who are older and living with frailty presenting for surgery is increasing. Frailty is a multifactorial clinical syndrome associated with decreased metabolic and physiological reserve across multiple organ systems. Frailty increases vulnerability to morbidity, loss of independence, and death in the perioperative period. Data suggest that frailty is prevalent within the vascular surgical population, itself a high-risk group. As a result, identifying patients living with frailty presenting for vascular surgery is of utmost importance. In this article, we discuss what is currently known about the burden of frailty in the vascular surgical population, how to identify those living with frailty preoperatively, the optimization of frailty, and their intra- and postoperative care.

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血管手术患者虚弱的围手术期处理

老年人和身体虚弱的患者来做手术的人数正在增加。虚弱是一种多因素的临床综合征，与多器官系统代谢和生理储备减少有关。虚弱会增加围手术期发病、丧失独立性和死亡的可能性。数据表明，在血管外科手术人群中，虚弱是普遍存在的，而血管外科手术本身就是一个高危人群。因此，识别患有血管手术的虚弱患者是至关重要的。在这篇文章中，我们讨论了目前已知的血管手术人群的虚弱负担，如何在术前识别那些生活在虚弱中的人，虚弱的优化，以及他们的内和术后护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Anaesthesia and Intensive Care Medicine ANESTHESIOLOGY-

CiteScore

0.50

自引率

0.00%

发文量

152

期刊介绍： Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.