Perioperative care and collaboration between surgeons and anaesthetists – it's about time

Klein, A. A.; Earnshaw, J. J.

doi:10.1002/bjs.11445

Cited by 11 publications

(13 citation statements)

References 10 publications

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“…In our hospital, many of the scheduled major cancer surgeries were postponed for over a week due to a shortage of allogenic blood supplies, resulting in a failure to achieve optimal timing for these procedures and an adverse effect on prognosis. Anesthesiologists and surgeons should actively communicate and cooperate for benefit of patients facing this intractable situation [3]. Acute normovolemic hemodilution (ANH) has been confirmed to decrease perioperative allogenic blood transfusion in major surgery patients [4,5], which is applicable but often ignored by many surgeons and anesthesiologists.…”

mentioning

confidence: 99%

Acute normovolemic hemodilution for major cancer surgeries during the COVID-19 pandemic: A beacon of hope

Zhang

et al. 2020

Journal of Clinical Anesthesia

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mentioning

confidence: 99%

Acute normovolemic hemodilution for major cancer surgeries during the COVID-19 pandemic: A beacon of hope

Zhang

et al. 2020

Journal of Clinical Anesthesia

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“…Among them, critical care medicine received the most publication, whereas general and internal medicine generated a remarkable number of high-impact articles. In fact, anesthesia department researchers tended to obtain a higher degree of clinical cross-discipline involvement ( 31 ). We believe that cross-discipline interaction is important to provide the best care and break the boundaries between disciplines, through research, to provide our patients with better clinical outcome.…”

Section: Discussionmentioning

confidence: 99%

Academic Publication of Anesthesiology From a Bibliographic Perspective From 1999 to 2018: Comparative Analysis Using Subject-Field Dataset and Department Dataset

et al. 2021

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Background: Publication activity in the field of anesthesiology informs decisions that enhance academic advancement. Most previous bibliometric studies on anesthesiology examined data limited to journals focused on anesthesiology rather than data answerable to authors in anesthesia departments. This study comprehensively explored publication trends in the field of anesthesiology and their impact. We hypothesized that anesthesiology's bibliometric scene would differ based on whether articles in the same study period were published in anesthesiology-focused journals or were produced by authors in anesthesia departments but published in non-specialty journals.Methods: This cross-sectional study used bibliometric data from the Science Citation Index Expanded database between 1999 and 2018. Two datasets were assembled. The first dataset was a subject-dataset (articles published in 31 journals in the anesthesiology category of InCites Journal Citation Reports in 2018); the second dataset was the department-dataset (articles published in the Science Citation Index Expanded by authors in anesthesia departments). We captured the bibliographical record of each article in both datasets and noted each article's Institute for Scientific Information code, publication year, title, abstract, author addresses, subject category, and references for further study.Results: A total of 69,593 articles were published—cited 1,497,932 times—in the subject-dataset; a total of 167,501 articles were published—cited 3,731,540 times—in the department-dataset. The results demonstrate differences between the two datasets. First, the number of articles was stagnant, with little growth (average annual growth rate = 0.31%) in the subject-dataset; whereas there was stable growth (average annual growth rate = 4.50%) in articles in the department-dataset. Second, only 30.4% of anesthesia department articles were published in anesthesiology journals. Third, journals related to “pain” had the lowest department-subject ratio, which was attributable to a large portion of non-anesthesia department researchers' participation in related research.Conclusions: This study showed that articles published in anesthesiology-focused and non-specialty journals demonstrate fundamentally different trends. Thus, it not only helps researchers develop a more comprehensive understanding of the current publication status and trends in anesthesiology, but also provides a basis for national academic organizations to frame relevant anesthesiology development policies and rationalize resource allocation.

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“…3 How these pathways are engineered is the focus of recent perioperative research, with movement away from traditionally siloed perioperative care delivery and toward more integrated delivery of care. 1,[4][5][6] These integrated care pathways represent the locationspecific process of care for surgical patients in that setting. Periop erative models of care such as the PSH and ERAS can be conceptualized as providing the structure to develop inte grated perioperative pathways or protocols, which are then tailored to be built within the health system that delivers the care for surgical patients.…”

Section: Integrated Perioperative Pathwayspast and Futurementioning

confidence: 99%

“…In contrast to the traditional approach, which prioritizes efficiency of care within each care silo, novel approaches to multidisciplinary collaboration in perioperative care that prioritize quality of care are increasingly being explored as viable options. 1,[4][5][6][7] For example, in these restructured pathways, patients may be assessed by surgical care providers and medical periopera tive specialists during the same clinical encounter. This may allow for surgical options and medical risks associated with potential surgery or nonsurgical alternatives to be discussed with the patient and all members of the multidisciplinary team.…”

Section: Integrated Perioperative Pathwayspast and Futurementioning

confidence: 99%

The Perioperative Surgical Home, Enhanced Recovery After Surgery and how integration of these models may improve care for medically complex patients

Harrison

Ronksley

James

et al. 2021

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Perioperative medicine is changing rapidly, and with this change comes the opportunity to improve upon current models of care delivery and integration within the health care system. Perioperative models of care are structured or conceptual arrangements for surgical patients before, during and after their surgery. Models of care such as the Perioperative Surgical Home and Enhanced Recovery After Surgery pathways are increasingly used to guide the structure of perioperative care delivery with an aim to improve patient outcomes and experience in Canadian settings. In this narrative review, we summarize the origins of these perioperative models of care. They are fundamentally different in scope and level of evidence. Both models have potential benefits and limitations to their broad implementation in our health care system. As currently developed, both models are limited in their application to patients with chronic disease. We discuss how these models of care can be used to develop integrated horizontal and vertical perioperative pathways in a Canadian setting. Such integration is a potential solution that will improve their applicability to patients with medically complex conditions and in times when health care systems are under pressure. We describe this approach using the example of patients with kidney failure receiving dialysis.

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Perioperative care and collaboration between surgeons and anaesthetists – it's about time

Cited by 11 publications

References 10 publications

Acute normovolemic hemodilution for major cancer surgeries during the COVID-19 pandemic: A beacon of hope

Acute normovolemic hemodilution for major cancer surgeries during the COVID-19 pandemic: A beacon of hope

Academic Publication of Anesthesiology From a Bibliographic Perspective From 1999 to 2018: Comparative Analysis Using Subject-Field Dataset and Department Dataset

The Perioperative Surgical Home, Enhanced Recovery After Surgery and how integration of these models may improve care for medically complex patients

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