Risk assessment in anaesthesia for adult non-cardiac surgery

IF 0.3 Q4 ANESTHESIOLOGY

Anaesthesia and Intensive Care Medicine Pub Date : 2025-07-05 DOI:10.1016/j.mpaic.2025.05.009

Carmen Leung, Yiu Chung Lau

引用次数: 0

Abstract

Risk assessment is crucial in perioperative care planning to optimize outcomes. Various risk assessment tools have been developed to predict the general risk of surgery and specific system-based risks. Guidelines recommend using these tools to stratify risk of perioperative complications. Cardiac biomarkers may supplement risk assessment for high-risk patients. Investigations including cardiopulmonary exercise testing and pulmonary function tests are reserved for high-risk patients and procedures. Frailty is an independent predictor of adverse outcomes and should be screened routinely preoperatively in elderly patients. Each risk prediction tool has its own limitations and there is a lack of evidence to suggest one over another. Further research on these tools and artificial intelligence could improve subsequent clinical decision-making.

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成人非心脏手术麻醉的风险评估

风险评估是围手术期护理计划优化结果的关键。已经开发了各种风险评估工具来预测手术的一般风险和特定的系统风险。指南建议使用这些工具对围手术期并发症的风险进行分层。心脏生物标志物可以补充高危患者的风险评估。包括心肺运动测试和肺功能测试在内的调查是为高危患者和手术保留的。虚弱是不良结果的独立预测因子，应在老年患者术前常规筛查。每一种风险预测工具都有其自身的局限性，而且缺乏证据表明它们孰优孰劣。对这些工具和人工智能的进一步研究可以改善后续的临床决策。

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.