{"title":"Assessment of the emergency surgical patient","authors":"Yuen Diana Heung Fung, Cheng Vicky Wing Kei","doi":"10.1016/j.mpaic.2024.06.016","DOIUrl":null,"url":null,"abstract":"<div><p>Assessment of emergency surgical patients aims to stratify risks of intended operation based on patient's condition and planned surgery, direct preoperative optimization and construct an anaesthetic plan accordingly. Compared to elective patients, emergency patients are susceptible to greater challenges including high aspiration risks, dehydration, electrolyte disturbances<span><span> and impaired consciousness. Although only limited time is allowed, early recognition of these conditions allow appropriate intervention to minimize perioperative complications<span>. In trauma patients, relevant history of injury regarding the type, mechanism and sites of injury is especially essential. They may present with difficult airway, ongoing bleeding and </span></span>haemodynamic instability. This further complicates perioperative management where anaesthetic assessment is crucial to guide anaesthetic plans.</span></p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 8","pages":"Pages 526-532"},"PeriodicalIF":0.2000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia and Intensive Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1472029924001218","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Assessment of emergency surgical patients aims to stratify risks of intended operation based on patient's condition and planned surgery, direct preoperative optimization and construct an anaesthetic plan accordingly. Compared to elective patients, emergency patients are susceptible to greater challenges including high aspiration risks, dehydration, electrolyte disturbances and impaired consciousness. Although only limited time is allowed, early recognition of these conditions allow appropriate intervention to minimize perioperative complications. In trauma patients, relevant history of injury regarding the type, mechanism and sites of injury is especially essential. They may present with difficult airway, ongoing bleeding and haemodynamic instability. This further complicates perioperative management where anaesthetic assessment is crucial to guide anaesthetic plans.
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.
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