De Hert, Stefan, Staender, Sven ORCID: 0000-0002-9669-7935, Fritsch, Gerhard, Hinkelbein, Jochen, Afshari, Arash, Bettelli, Gabriella, Bock, Matthias, Chew, Michelle S., Coburn, Mark, De Robertis, Edoardo ORCID: 0000-0001-9182-6964, Drinhaus, Hendrik, Feldheiser, Aarne ORCID: 0000-0002-0014-8879, Geldner, Gotz, Lahner, Daniel, Macas, Andrius, Neuhaus, Christopher ORCID: 0000-0001-7262-3723, Rauch, Simon ORCID: 0000-0002-3264-6303, Santos-Ampuero, Maria Angeles, Solca, Maurizio, Tanha, Nima, Traskaite, Vilma, Wagner, Gernot and Wappler, Frank (2018). Pre-operative evaluation of adults undergoing elective noncardiac surgery Updated guideline from the European Society of Anaesthesiology. Eur. J. Anaesth., 35 (6). S. 407 - 466. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1365-2346

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Abstract

The purpose of this update of the European Society of Anaesthesiology (ESA) guidelines on the pre-operative evaluation of the adult undergoing noncardiac surgery is to present recommendations based on the available relevant clinical evidence. Well performed randomised studies on the topic are limited and therefore many recommendations rely to a large extent on expert opinion and may need to be adapted specifically to the healthcare systems of individual countries. This article aims to provide an overview of current knowledge on the subject with an assessment of the quality of the evidence in order to allow anaesthesiologists all over Europe to integrate - wherever possible - this knowledge into daily patient care. The Guidelines Committee of the ESA formed a task force comprising members of the previous task force, members of ESA scientific subcommittees and an open call for volunteers was made to all individual active members of the ESA and national societies. Electronic databases were searched from July 2010 (end of the literature search of the previous ESA guidelines on pre-operative evaluation) to May 2016 without language restrictions. A total of 34066 abtracts were screened from which 2536 were included for further analysis. Relevant systematic reviews with meta-analyses, randomised controlled trials, cohort studies, case-control studies and cross-sectional surveys were selected. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was used to assess the level of evidence and to grade recommendations. The final draft guideline was posted on the ESA website for 4 weeks and the link was sent to all ESA members, individual or national (thus including most European national anaesthesia societies). Comments were collated and the guidelines amended as appropriate. When the final draft was complete, the Guidelines Committee and ESA Board ratified the guidelines.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
De Hert, StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Staender, SvenUNSPECIFIEDorcid.org/0000-0002-9669-7935UNSPECIFIED
Fritsch, GerhardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hinkelbein, JochenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Afshari, ArashUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bettelli, GabriellaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bock, MatthiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chew, Michelle S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Coburn, MarkUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
De Robertis, EdoardoUNSPECIFIEDorcid.org/0000-0001-9182-6964UNSPECIFIED
Drinhaus, HendrikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Feldheiser, AarneUNSPECIFIEDorcid.org/0000-0002-0014-8879UNSPECIFIED
Geldner, GotzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lahner, DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Macas, AndriusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Neuhaus, ChristopherUNSPECIFIEDorcid.org/0000-0001-7262-3723UNSPECIFIED
Rauch, SimonUNSPECIFIEDorcid.org/0000-0002-3264-6303UNSPECIFIED
Santos-Ampuero, Maria AngelesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Solca, MaurizioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tanha, NimaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Traskaite, VilmaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wagner, GernotUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wappler, FrankUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-185788
DOI: 10.1097/EJA.0000000000000817
Journal or Publication Title: Eur. J. Anaesth.
Volume: 35
Number: 6
Page Range: S. 407 - 466
Date: 2018
Publisher: LIPPINCOTT WILLIAMS & WILKINS
Place of Publication: PHILADELPHIA
ISSN: 1365-2346
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
OBSTRUCTIVE SLEEP-APNEA; ACUTE KIDNEY INJURY; BODY-MASS INDEX; COMPREHENSIVE GERIATRIC ASSESSMENT; ADVERSE CARDIAC EVENTS; HIP FRACTURE SCORE; DIFFICULT TRACHEAL INTUBATION; GLOMERULAR-FILTRATION-RATE; PATIENT BLOOD MANAGEMENT; MAJOR ORTHOPEDIC-SURGERYMultiple languages
AnesthesiologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/18578

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