Introduction to Peri Operative Risk

Conclusions As the elective activity resumes, peri-operative risks of COVID-19 should be weighted in during the informed consent process, as mentioned in the latest international guidelines on consent to avoid litigation and negligence claims.

AIMS The aim of this systematic review was to assess the use of measures and estimates of body composition determined by BIA as markers of peri-operative risk in adult patients undergoing elective surgery for cancer.

The peri-operative risk-factors and preventative strategies for persistent postoperative opioid use and opioid-related harm are presented in a manner that is accessible across specialties and we believe this document will largely serve the purpose of unifying efforts to mitigate opioid-related harm.

MIAE patients had significantly greater pre-operative comorbidities and higher calculated peri-operative risk of complication but demonstrated similar post-operative outcomes.

ASA PS has been a significant predictor in depicting morbidity and mortality and evaluating peri-operative risks in patients going for surgery for clinicians, researchers, hospital administrators and government.

Prehabilitation can be defined as a group of interventions undertaken prior to a surgical procedure, with the aim of reducing peri-operative risk, improving post-operative recovery and outcomes.

Peri-operative risk factors included brainstem invasion, vermis incision, pre-and post-operative hydrocephalus, tumor size, duration and severity of pCMS, neurological symptoms on day 10 after surgery, mean body temperature (BT) on days 1-4 post surgery, and age at resection.

In elderly patients with multiple co-morbidities, the decision to “watch and wait” is often most clinically appropriate as operative intervention is associated with high peri-operative risk.

Current peri-operative risk assessment tools may poorly estimate the risk of perioperative mortality.

While peri-operative risk stratification for cardiovascular outcomes is well established in current guidelines, there are no clear guidelines for peri-operative risk stratification in the setting of pulmonary embolism.

Relevant demographic and peri-operative risk factors collected retrospectively, following strengthening the reporting of observational studies in epidemiology (STROBE) criteria.

RESULTS For 100 out of 111 patients, telepre-operative consultations allowed for adequate peri-operative risk assessment and patient education and also for effective collection of legal signatures.

Cardiovascular comorbidities often prevent patients with otherwise resectable early-stage lung cancer from undergoing surgery due to prohibitive peri-operative risk.

However, the mortality for octogenarians who have either low or high peri-operative risks remains unclear.

Here, we report a case of a 62-year-old female with stomal variceal hemorrhage in the setting of chronic portal vein thrombosis who was ineligible for transhepatic intrajugular portosystemic shunt or surgery as a result of her challenging anatomy and peri-operative risks.

SUMMARY In 2019, the inter-societal working group identified the following topics for review and interdisciplinary discussion: 1) peri-operative risk stratification, 2) the role of diagnostic radioactive iodine imaging in initial staging and 3) indicators of response to radioactive iodine therapy.

An open-heart surgery in such a patient involves substantial peri-operative risk.

Conclusions Donor age, blood loss and an annual surgical volume < 30 LTs were significant pre- and peri-operative risk factors.

To investigate if and how the incidence of post-operative delirium is related to the existence of pre-operative delirium and other peri-operative risk factors in older patients undergoing hip fracture surgery.