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2019, Number 3

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Gac Med Mex 2019; 155 (3)

Valoración preoperatoria en cirugía no cardiaca: un abordaje por pasos

Moreno-Del Castillo MC, Valladares-García J, Hernández-Buen Abad JJ, Halabe-Cherem J

Language: Spanish
References: 60
Page: 298-306
PDF size: 190.95 Kb.


ABSTRACT

Preoperative assessment in non-cardiac surgery is essential to reducing the rate of in-hospital complications. Its purpose is to identify patients with higher levels of risk. Preoperative assessment should not be restricted to cardiovascular aspects, but it should focus on all organs and systems and include medication reconciliation. The purpose of this article is to approach the performance of a preoperative assessment in non-cardiac surgery from the perspective of the internist, with the purpose to help prevent adverse events and improve the overall outcome.


REFERENCES

  1. Halabe-Cherem, J, Palomo-Piñón S, Flores-Padilla G, Romero E, Chong-Martínez BA, Nellen-Hummel H, et al. La valoración preoperatoria en el adulto. Gac Med Mex. 2007;131:267-276.

  2. Diaz-Fuentes G, Talib-Hashmi HR, Venkatram S. Perioperative evaluation of patients with pulmonary conditions undergoing non-cardiothoracic surgery. Health Serv Insights. 2016;9:9-23.

  3. Canet J, Gallart L, Gomar C, Paluzie G, Vallès J, Castillo J, et al. Prediction of postoperative pulmonary complications in a population-based surgical cohort. Anesthesiology. 2010;113:1338-1350.

  4. Gupta H, Gupta PK, Schuller D, Fang X, Miller WJ, Modrykamien A, et al. Development and validation of a risk calculator for predicting postoperative pneumonia. Mayo Clin Proc. 2013;88:1241-1249.

  5. Bock M, Fritsch G, Hepner DL. Preoperative laboratory testing. Anesthesiol Clin. 2016;34:43-58.

  6. Reilly DF, McNeely MJ, Doerner D, Greenberg DL, Staiger TO, Geist MJ, et al. Self-reported exercise tolerance and the risk of serious perioperative complications. Arch Intern Med. 1999;159:2185-2192.

  7. Fleisher LA, Fleischmann KE, Auerbach AD, Barnason SA, Beckman JA, Bozkurt B, et al. 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014; 9:2215-2245.

  8. Rubinsky AD, Sun H, Blough DK, Maynard C, Bryson CL, Harris AH, et al. AUDIT-C alcohol screening results and postoperative inpatient health care use. J Am Coll Surg. 2012;214:296-305.

  9. Subedi A, Bhattarai B. Intraoperative alcohol withdrawal syndrome: a coincidence or precipitation? Case Rep Anesthesiol. 2013;2013:761527.

  10. Sullivan JT, Sykora K, Schneiderman J, Naranjo CA, Sellers EM. Assessment of alcohol withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA‐Ar). Br J Addict. 1989;84:1353-1357.

  11. Alakkad H, Kruisselbrink R, Chin KJ, Niazi AU, Abbas S, Chan VW, et al. Point-of-care ultrasound defines gastric content and changes the anesthetic management of elective surgical patients who have not followed fasting instructions: a prospective case series. Can J Anesth. 2015; 62:1188-1195.

  12. Nolan MB, Martin DP, Thompson R, Schroeder DR, Hanson AC, Warner DO. Association between smoking status, preoperative exhaled carbon monoxide levels, and postoperative surgical site infection in patients undergoing elective surgery. JAMA Surg. 2017;152:476-483.

  13. Wong J, Lam DP, Abrishami A, Chan MT, Chung F. Short-term preoperative smoking cessation and postoperative complications: a systematic review and meta-analysis. Can J Anesth 2012;59:268-279.

  14. Nolan MB, Warner DO. Safety and efficacy of nicotine replacement therapy in the perioperative period: a narrative review. Mayo Clin Proc. 2015;90:1553-1561.

  15. Gupta H, Gupta PK, Fang X, Miller WJ, Cemaj S, Forse RA, et al. Development and validation of a risk calculator predicting postoperative respiratory failure. Chest. 2011;140:1207-1215.

  16. Corso RM, Petrini F, Buccioli M, Nanni O, Carretta E, Trolio A, et al. Clinical utility of preoperative screening with STOP-Bang questionnaire in elective surgery. Minerva Anestesiol. 2014;80:877-884.

  17. Moore JA, Conway DH, Thomas N, Cummings D, Atkinson D. Impact of a peri-operative quality improvement programme on postoperative pulmonary complications. Anaesthesia.2017;72:317-327.

  18. Cassidy MR, Rosenkranz P, McCabe K, Rosen JE, McAneny D. I CO GH: reducing postoperative pulmonary complications with a multidisciplinary patient care program. JAMA Surg. 2013;148:740-745.

  19. Chung F, Abdullah HR, Liao P. STOP-Bang Questionnaire: a practical approach to screen for obstructive sleep apnea. Chest. 2016; 149 631-638.

  20. Stierer TL, Collop NA. Perioperative assessment and management for sleep apnea in the ambulatory surgical patient. Chest. 2015;148:559-565.

  21. Raveendran R, Chung F. Perioperative consideration of obstructive sleep apnea in ambulatory surgery. Anesthesiol Clin. 2014;32:321-328.

  22. Owens WD. American Society of Anesthesiologists Physical Status Classification System is not a risk classification system. Anesthesiology. 2001;94:378.

  23. Goldman L, Caldera DL, Nussbaum SR, Southwick FS, Krogstad D, Murray B, et al. Multifactorial index of cardiac risk in noncardiac surgical procedures. N Engl J Med. 1977;297:845-850.

  24. Detsky AS, Abrams HB, Forbath N, Scott JG, Hilliard JR. Cardiac assessment for patients undergoing noncardiac surgery. A multifactorial clinical risk index. Arch Intern Med. 1986;146:2131-2134.

  25. Lee TH, Marcantonio ER, Mangione CM, Thomas EJ, Polanczyk CA, Cook EF, et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation. 1999;100:1043-1049.

  26. Gupta PK, Gupta H, Sundaram A, Kaushik M, Fang X, Miller WJ, et al. Development and validation of a risk calculator for prediction of cardiac risk after surgery. Circulation. 2011;124:381-387.

  27. Ridley S. Cardiac scoring systems: what is their value? Anaesthesia. 2003;58:985-991.

  28. Halabe-Cherem J, Malagón J, Wacher-Rodarte N, Nellen-Hummel H, Talavera-Piña, J. La utilidad de la escala de ASA y de la radiografía de tórax como indicadores de riesgo cardiovascular perioperatorio. Gac Med Mex. 1998;134:27-31.

  29. Kristensen SD, Knuuti J, Saraste A, Anker S, Bøtker HE, Hert SD, et al. 2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management: the Joint Task Force on non-cardiac surgery: cardiovascular assessment and management of the European Society of Cardiology (ESC) and the European Society of Anaesthesiology (ESA). Eur Heart J. 2014;35:2383-2431.

  30. Craig CM, Basman C, Wang ES, Shoffeitt M, Mackenzie CR. Perioperative risk models: a narrative review. J Clin Anesth Manag. 2016;1:1-11.

  31. Glance LG, Lustik SJ, Hannan EL, Osler TM, Mukamel DB, Qian F, et al. The Surgical Mortality Probability Model: derivation and validation of a simple risk prediction rule for noncardiac surgery. Ann Surg. 2012;255:696-702.

  32. Jeger RV, Probst C, Arsenic R, Lippuner T, Pfisterer ME, Seeberger MD, et al. Long-term prognostic value of the preoperative 12-lead electrocardiogram before major noncardiac surgery in coronary artery disease. Am Heart J. 2006;151:508-513.

  33. Patel MR, Bailey SR, Bonow RO, Chambers CE, Chan PS, Dehmer GJ, et al. ACCF/SCAI/AATS/AHA/ASE/ASNC/HFSA/HRS/SCCM/SCCT/ SCMR 2012 appropriate use criteria for diagnostic catheterization: a re port of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, Society for Cardiovascular Angiography andInterventions, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2012;29:1995-2027.

  34. Caprini JA. Mechanical methods for thrombosis prophylaxis. Clin Appl Thromb Hermost. 2010;16:668-673.

  35. Ho KM, Tan JA. Stratified meta-analysis of intermittent pneumatic compression of the lower limbs to prevent venous thromboembolism in hospitalized patients. Circulation. 2013;128:1003-1020.

  36. Chan KE, Thadhani RI, Maddux FW. No difference in bleeding risk between subcutaneous enoxaparin and heparin for thromboprophylaxis in end-stage renal disease. Kidney Int. 2013;84:555-561.

  37. Baron TH, Kamath PS, McBane RD. Management of antithrombotic therapy in patients undergoing invasive procedures. N Engl J Med. 2013;368:113-124.

  38. Venker BT, Ganti BR, Lin H, Lee ED, Nunley RM, Gage BF. Safety and efficacy of new anticoagulants for the prevention of venous thromboembolism after hip and knee arthroplasty: a meta-analysis. J Arthroplasty. 2017;32:645-652.

  39. Kaplan EB, Sheiner LB, Boeckmann AJ, Roizen MF, Beal SL, Cohen SN, et al. The usefulness of preoperative laboratory screening. JAMA. 1985;253:3576-3581.

  40. Smetana GW, Macpherson DS. The case against routine preoperative laboratory testing. Med Clin North Am. 2003;87:7-40.

  41. Srivastava U, Kumar A. Role of routine laboratory investigations in preoperative evaluation. J Anaesthesiol Clin Pharmacol. 2011;27:174-179.

  42. Alsumait BM, Alhumood SA, Ivanova T, Mores M, Edeia M. A prospective evaluation of preoperative screening laboratory tests in general surgery patients. Med Princ Pract. 2002;11:42-45.

  43. Blessberger H, Kammler J, Domanovits H, Schlager O, Wildner B, Azar D, et al. Perioperative beta-blockers for preventing surgery related mortality and morbidity. Cochrane Database Syst Rev. 2014;18:CD004476.

  44. Devereaux PJ, Sessler DI. Cardiac complications in patients undergoing major noncardiac surgery. N Engl J Med. 2015;373:2258-2269.

  45. Stern T, Cifu AS. Perioperative β-blocker therapy. JAMA. 2015; 313:2486-2487.

  46. Hollmann C, Fernandes NL, Biccard BM. A systematic review of outcomes associated with withholding or continuing angiotensin-converting enzyme inhibitors and angiotensin receptor blockers before noncardiac surgery. Anesth Analg. 2018;127:678-687.

  47. Arnold MJ, Beer J. Preoperative evaluation: a time-saving algorithm. J Fam Pract. 2016;65:702-710.

  48. Sudhakaran S, Surani SR. Guidelines for perioperative management of the diabetic patient. Surg Res Pract. 2015;2015:284063.

  49. Sebranek JJ, Lugli AK, Coursin DB. Glycaemic control in the perioperative period. Br J Anaesth. 2013;111:18-34.

  50. Kelly KN, Domajnko B. Perioperative stress-dose steroids. Clin Colon Rectal Surg. 2013;26:163-167.

  51. Liu MM, Reidy AB, Saatee S, Collard CD. Perioperative steroid management: approaches based on current evidence. Anesthesiology. 2017;127:166-172.

  52. Douketis JD, Spyropoulos AC, Spencer FA, Mayr M, Jaffer AK, Eckman MH, et al. Perioperative management of antithrombotic therapy: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141:e326S-e350S.

  53. Mikhail MA, Mohabbat AB, Ghosh AK. Perioperative cardiovascular medication management in noncardiac surgery: common questions. Am Fa. Physician. 2017;95:645-650.

  54. Douketis JD, Spyropoulos AC, Kaatz S, Becker RC, Caprini JA, Dunn AS, et al. Perioperative bridging anticoagulation in patients with atrial fibrillation. N Engl J Med. 2015;373:823-833.

  55. Berríos-Torres SI, Umscheid CA, Bratzler DW, Leas B, Stone EC, Kelz RR, et al. Centers for Disease control and prevention guideline for the prevention of surgical site infection. JAMA Surg. 2017;152:784-791.

  56. Bratzler DW, Dellinger EP, Olsen KM, Perl TM, Auwaerter PG, Bolon MK, et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health Syst Pharm. 2013;70:195-283.

  57. Halm EA, Browner WS, Tubau JF, Tateo IM, Mangano DT. Echocardiography for assessing cardiac risk in patients having noncardiac surgery. Study of Perioperative Ischemia Research Group. Ann Intern Med. 1996;125:433-441.

  58. Rohde LE, Polanczyk CA, Goldman L, Cook EF, Lee RT, Lee TH. Usefulness of transthoracic echocardiography as a tool for risk stratification of patients undergoing major noncardiac surgery. Am J Cardiol. 2001;87:505-509.

  59. Schwitter J, Wacker CM, Wilke N, Al-Saadi N, Sauer E, Huettle K, et al. MR-IMPACT II: Magnetic Resonance Imaging for Myocardial Perfusion Assessment in Coronary artery disease Trial: perfusion-cardiac magnetic resonance vs. single-photon emission computed tomography for the detection of coronary artery disease: a comparative multicentre, multivendor trial. Eur Heart J. 2013;34:775-781.

  60. Das MK, Pellikka PA, Mahoney DW, Roger VL, Oh JK, McCully RB, et al. Assessment of cardiac risk before nonvascular surgery: dobutamine stress echocardiography in 530 patients. J Am Coll Cardiol. 2000;35:1647-1653.




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