The University of Southampton
University of Southampton Institutional Repository

Preparing the patient for surgery to improve outcomes

Preparing the patient for surgery to improve outcomes
Preparing the patient for surgery to improve outcomes
The time between contemplation of surgery and the procedure offers a window of opportunity to optimize patients' nutritional, functional and psychological state prior to surgery. Traditionally, preoperative pathways have focused on the underlying disease process and 'fitness for surgery' with physical pre-assessment and risk counselling late in the pathway when little time is available to intervene. With an increasingly elderly and co-morbid surgical population, early physiological assessment and multidisciplinary collaborative decision-making is increasingly important. Multimodal prehabilitation programmes may improve surgical outcome, facilitating rapid recovery from surgery and limiting post-operative functional dependence. Patient education and engagement is important if compliance with behavioural change is to be achieved and maintained. To date, there has been evidence supporting preoperative exercise training, smoking cessation, reduction in alcohol intake, anaemia management and psychosocial support. Further research is needed to identify the most effective elements of these complex preoperative interventions, as well as their optimum timing and duration.
Surgical outcome, prehabilitation, cardiopulmonary exercise testing, functional capacity
1878-1608
145-157
Levett, Denny Z. H.
1743763a-2853-4baf-affe-6152fde8d05f
Edwards, Mark
818201d5-7636-4292-9af8-7dd8bcd1fcb5
Grocott, Mike
1e87b741-513e-4a22-be13-0f7bb344e8c2
Mythen, Monty
ced4210c-1c97-4e00-aa51-58dea2959848
Levett, Denny Z. H.
1743763a-2853-4baf-affe-6152fde8d05f
Edwards, Mark
818201d5-7636-4292-9af8-7dd8bcd1fcb5
Grocott, Mike
1e87b741-513e-4a22-be13-0f7bb344e8c2
Mythen, Monty
ced4210c-1c97-4e00-aa51-58dea2959848

Levett, Denny Z. H., Edwards, Mark, Grocott, Mike and Mythen, Monty (2016) Preparing the patient for surgery to improve outcomes. Best Practice & Research Clinical Anaesthesiology, 30 (2), 145-157. (doi:10.1016/j.bpa.2016.04.002).

Record type: Article

Abstract

The time between contemplation of surgery and the procedure offers a window of opportunity to optimize patients' nutritional, functional and psychological state prior to surgery. Traditionally, preoperative pathways have focused on the underlying disease process and 'fitness for surgery' with physical pre-assessment and risk counselling late in the pathway when little time is available to intervene. With an increasingly elderly and co-morbid surgical population, early physiological assessment and multidisciplinary collaborative decision-making is increasingly important. Multimodal prehabilitation programmes may improve surgical outcome, facilitating rapid recovery from surgery and limiting post-operative functional dependence. Patient education and engagement is important if compliance with behavioural change is to be achieved and maintained. To date, there has been evidence supporting preoperative exercise training, smoking cessation, reduction in alcohol intake, anaemia management and psychosocial support. Further research is needed to identify the most effective elements of these complex preoperative interventions, as well as their optimum timing and duration.

This record has no associated files available for download.

More information

e-pub ahead of print date: 27 April 2016
Published date: June 2016
Keywords: Surgical outcome, prehabilitation, cardiopulmonary exercise testing, functional capacity

Identifiers

Local EPrints ID: 436997
URI: http://eprints.soton.ac.uk/id/eprint/436997
ISSN: 1878-1608
PURE UUID: 42ff0778-bd29-4e61-9177-e91897480caa
ORCID for Mike Grocott: ORCID iD orcid.org/0000-0002-9484-7581

Catalogue record

Date deposited: 14 Jan 2020 18:35
Last modified: 28 Apr 2022 02:01

Export record

Altmetrics

Contributors

Author: Denny Z. H. Levett
Author: Mark Edwards
Author: Mike Grocott ORCID iD
Author: Monty Mythen

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×