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Anaesthesia Editorial and Intensive Care Anaesthesia and Intensive Care 0(0) 1–2 The what-if approach to perioperative ! The Author(s) 2023 Article reuse guidelines: sagepub.com/journals-permissions planning DOI: 10.1177/0310057X231161648 journals.sagepub.com/home/aic 1,2,3 4,5 Matthew H Anstey and Siva Senthuran Advances in anaesthetic techniques, surgical proce- medicine specialists, intensivists or rehabilitation or dures and teamwork have made more and more surgi- palliative care physicians). It is helpful for the team cal procedures possible. It is now much less common to be clear about the goals of care so that appropriate for a patient to ‘die on the table’. Instead, the morbid- surgical and non-surgical options can be considered in ity and mortality of high-risk surgery is often delayed, an unbiased way, pooling multiple perspectives. leading to some patients spending significant amounts The next component is the need for a structured of time in an intensive care unit (ICU) or hospital ward decision-making process. This includes explicitly iden- before their final outcome is known. tifying plausible complications, given the proposed Preoperative optimisation and planning may increase technical challenges of surgery and the patient’s comor- the likelihood of a desirable outcome for the patient. bidities and frailty status. The team then needs to iden- Objective
Anaesthesia and Intensive Care – SAGE
Published: May 1, 2023
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