Reema Ayyash, Nallavenkat Senthilvel, Joanne Knight, Andrew D Kane
{"title":"The perioperative management of frailty in patients presenting for vascular surgery","authors":"Reema Ayyash, Nallavenkat Senthilvel, Joanne Knight, Andrew D Kane","doi":"10.1016/j.mpaic.2024.11.004","DOIUrl":null,"url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"26 2","pages":"Pages 112-117"},"PeriodicalIF":0.2000,"publicationDate":"2025-02-01","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/S1472029924002431","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
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.
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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