Recommendations from the Italian intersociety consensus on Perioperative Anesthesia Care in Thoracic surgery (PACTS) part 1: preadmission and preoperative care
-
Published:2020-12
Issue:1
Volume:9
Page:
-
ISSN:2047-0525
-
Container-title:Perioperative Medicine
-
language:en
-
Short-container-title:Perioper Med
Author:
Piccioni FedericoORCID, , Droghetti Andrea, Bertani Alessandro, Coccia Cecilia, Corcione Antonio, Corsico Angelo Guido, Crisci Roberto, Curcio Carlo, Del Naja Carlo, Feltracco Paolo, Fontana Diego, Gonfiotti Alessandro, Lopez Camillo, Massullo Domenico, Nosotti Mario, Ragazzi Riccardo, Rispoli Marco, Romagnoli Stefano, Scala Raffaele, Scudeller Luigia, Taurchini Marco, Tognella Silvia, Umari Marzia, Valenza Franco, Petrini Flavia, , , , ,
Abstract
Abstract
Introduction
Anesthetic care in patients undergoing thoracic surgery presents specific challenges that necessitate standardized, multidisciplionary, and continuously updated guidelines for perioperative care.
Methods
A multidisciplinary expert group, the Perioperative Anesthesia in Thoracic Surgery (PACTS) group, comprising 24 members from 19 Italian centers, was established to develop recommendations for anesthesia practice in patients undergoing thoracic surgery (specifically lung resection for cancer). The project focused on preoperative patient assessment and preparation, intraoperative management (surgical and anesthesiologic care), and postoperative care and discharge. A series of clinical questions was developed, and PubMed and Embase literature searches were performed to inform discussions around these areas, leading to the development of 69 recommendations. The quality of evidence and strength of recommendations were graded using the United States Preventative Services Task Force criteria.
Results
Recommendations for preoperative care focus on risk assessment, patient preparation (prehabilitation), and the choice of procedure (open thoracotomy vs. video-assisted thoracic surgery).
Conclusions
These recommendations should help pulmonologists to improve preoperative management in thoracic surgery patients. Further refinement of the recommendations can be anticipated as the literature continues to evolve.
Publisher
Springer Science and Business Media LLC
Reference129 articles.
1. Agostini PJ, Lugg ST, Adams K, Smith T, Kalkat MS, Rajesh PB, et al. Risk factors and short-term outcomes of postoperative pulmonary complications after VATS lobectomy. J Cardiothorac Surg. 2018;13:28. 2. Ahn HJ, Kim JA, Lee AR, Yang M, Jung HJ, Heo B. The risk of acute kidney injury from fluid restriction and hydroxyethyl starch in thoracic surgery. Anesth Analg. 2016;122:186–93. 3. Akiba T, Marushima H, Hiramatsu M, Matsudaira H, Nakanishi K, Takeyama H, et al. Video-assisted thoracoscopic surgery for non-small cell lung cancer in patients on hemodialysis. Ann Thorac Cardiovasc Surg. 2010;16:40–4. 4. Aldecoa C, Bettelli G, Bilotta F, Sanders RD, Audisio R, Borozdina A, et al. European Society of Anaesthesiology evidence-based and consensus-based guideline on postoperative delirium. Eur J Anaesthesiol. 2017;34:192–214. 5. Baldvinsson K, Oskarsdottir GN, Orrason AW, Halldorsson H, Thorsteinsson H, Sigurdsson MI, et al. Resection rate and operability of elderly patients with non-small cell lung cancer: nationwide study from 1991 to 2014. Interact Cardiovasc Thorac Surg. 2017;24:733–9.
Cited by
12 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
|
|