Perioperative medicine

Abstract

Perioperative medicine delivers patient-centred, multidisciplinary, integrated care for patients from the contemplation of surgery throughout the surgical pathway to recovery. High-quality perioperative care reduces complications, improves outcomes, and leads to improved patient satisfaction and reduced healthcare costs. This article is based on key findings and recommendations from the Getting It Right First Time (GIRFT) national report on perioperative medicine and outlines key concepts of perioperative medicine; exploring how practice can be transformed to improve care. The GIRFT report was produced using information gathered from 72 visits and 119 surveys from NHS trusts in England. It illustrates examples of exemplary perioperative care across the country but also describes variation in access to and provision of perioperative care. To address this unwarranted variation and to tackle the implementation gap, transformation of perioperative care pathways ensuring a patient-centered approach, multi-professional collaboration and widespread adoption of best practice will be required.

Current Status and Global Trend of Rebound Pain After Regional Anesthesia: A Bibliometric Analysis

“…It can be partly explained by the advocation of perioperative medicine. 28 Last but not least, burst keywords from 2022 to 2023 include management, fracture surgery and outcome. These keywords may provide future direction for rebound pain investigation, that is paying attention to the perioperative management and outcomes of the patients, especially the fracture ones.…”

Phone home: The translational benefits of space medicine for rural and remote perioperative medicine on Earth

“…Evidence demonstrates that high-quality perioperative medicine improves the patient experience of surgery by increasing adherence, minimising the rates of postoperative complications, decreasing critical care requirements and reducing the length of stay. 1 Effective perioperative medicine begins with the early recognition and assessment of the medically complex surgical candidate, so that evidence-based, patient and surgery-specific treatments may be initiated. This journey follows the patient throughout their surgical admission and into the postoperative period until full recovery.…”

Investigating risk factors for medication errors during perioperative care: A retrospective cohort study

“…[4][5][6] The perioperative setting is especially vulnerable to these errors, owing to the involvement of multiple healthcare professionals and the necessity for swift decision-making. [7][8][9] Previous studies have underscored the multifactorial nature of medication errors, highlighting factors ranging from patient characteristics and medication types to healthcare provider practices. [10][11][12] Notably, the nurse's role in medication administration during surgery is pivotal, with their educational background, experience, and the presence of dedicated anesthesia nurses being identified as crucial determinants of error rates.…”

“…[4–6] The perioperative setting is especially vulnerable to these errors, owing to the involvement of multiple healthcare professionals and the necessity for swift decision-making. [7–9]…”