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professional thesis
Preoperativna i perioperativna optimizacija pacijenata - analiza literature 2019.-2022.
Zagreb: University of Zagreb, School of Medicine, 2023. urn:nbn:hr:105:225735
Šore, Josip
University of Zagreb
School of Medicine

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Šore, J. (2023). Preoperativna i perioperativna optimizacija pacijenata - analiza literature 2019.-2022. (Professional thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:225735

Šore, Josip. "Preoperativna i perioperativna optimizacija pacijenata - analiza literature 2019.-2022.." Professional thesis, University of Zagreb, School of Medicine, 2023. https://urn.nsk.hr/urn:nbn:hr:105:225735

Šore, Josip. "Preoperativna i perioperativna optimizacija pacijenata - analiza literature 2019.-2022.." Professional thesis, University of Zagreb, School of Medicine, 2023. https://urn.nsk.hr/urn:nbn:hr:105:225735

Šore, J. (2023). 'Preoperativna i perioperativna optimizacija pacijenata - analiza literature 2019.-2022.', Professional thesis, University of Zagreb, School of Medicine, accessed 27 April 2024, https://urn.nsk.hr/urn:nbn:hr:105:225735

Šore J. Preoperativna i perioperativna optimizacija pacijenata - analiza literature 2019.-2022. [Professional thesis]. Zagreb: University of Zagreb, School of Medicine; 2023 [cited 2024 April 27] Available at: https://urn.nsk.hr/urn:nbn:hr:105:225735

J. Šore, "Preoperativna i perioperativna optimizacija pacijenata - analiza literature 2019.-2022.", Professional thesis, University of Zagreb, School of Medicine, Zagreb, 2023. Available at: https://urn.nsk.hr/urn:nbn:hr:105:225735

Metadata
TitlePreoperativna i perioperativna optimizacija pacijenata - analiza literature 2019.-2022.
Title (english)Preoperative and perioperative patient optimization - a 2019.-2022. literature analysis
AuthorJosip Šore
MentorDinko Tonković (mentor)
GranterUniversity of Zagreb
School of Medicine
Zagreb
Defense date and country2023-11-15, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Anesthesiology and Reanimatology
Abstract
Uvod: Perioperativna medicina zauzima sve važnije mjesto u modernoj anesteziološkoj skrbi, međutim teme koje su uključene u multimodalni perioperativni pristup još uvijek su slabo ispitane i potkrijepljene slabom razinom dokaza. Hipoteza: Preoperativna i perioperativna optimizacija prekondicioniraju pacijente za operativne zahvate te doprinose smanjenju perioperativnih komplikacija, morbiditeta i mortaliteta. Metode: Putem baza podataka PubMed i Cochrane pretraženi su pregledni članci, sistematični pregledi literature, meta-analize i randomizirano-kontrolirane studije u razdoblju 2019.-2022. na temu preoperativne i perioperativne optimizacije. Analizirane su teme optimizacije kardiovaskularnog statusa, anemije, nutritivnog statusa, promjene životnih navika, optimizacije komorbiditeta, kognitivne prehabilitacije, prevencije postoperativne mučnine i povraćanja, prevencije postoperativne kognitivne disfunkcije, multimodalne analgezije i rane mobilizacije. Napravljen je osvrt na elektivne zahvate nakon preboljele COVID-19 infekcije. Rezultati: U svim navedenim temama zaključci su izostanka bilo kakvih štetnih učinaka navedenih pristupa. Korisni učinci varijabilni su i često slabo potkrijepljeni dokazima i statističkom analizom. Također, trenutno izostaje uniformiranost pristupa zbrinjavanju navedenih problematika, te je istovremeno prisutno više različitih metoda i trajanja intervencija. Zaključak: Perioperativna medicina može nuditi potencijalnu korist za pacijente, međutim potrebna su daljnja istraživanja u svrhu definicije ispravnih protokola i duljine trajanja intervencija.
Abstract (english)
Introduction: The role of perioperative medicine in modern anesthesiology is becoming more important. However, there is a lack of studies and evidence concerning a multimodal perioperative approach. Hypothesis: Preoperative and perioperative optimization preconditions the patients for surgeries and reduces perioperative complications, morbidity and mortality Methods: Literature databases PubMed and Cochrane were used to search for reviews, systematic reviews, meta-analyses and RCT-s published between 2019. and 2022. concerning preoperative and perioperative optimizations. Analyzed topics included cardiovascular optimization, correction of anemia, correction of nutritional state, lifestyle changes, optimization of comorbidities, cognitive prehabilitation and prevention of cognitive dysfunction and delirium, prevention of PONV, multimodal analgesia and early mobilization. The effects of past COVID-19 infection on elective surgery was also mentioned. Results: Concerning all mentioned topics, neither intervention was associated with harmful effects. Benefits were variable and often corroborated with weak guidelines and low quality of evidence and statistical analysis. Current literature is also lacking in uniformed approaches to certain challenges, and many different methods and interventions were offered. Conclusion: Perioperative medicine may offer potential benefits for patients. However, further research is required to define the correct protocols and durations of interventions.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:225735
Study programmeTitle: Anesthesiology, reanimatology and intensive care medicine
Study programme type: university
Study level: postgraduate specialist
Academic / professional title: sveučilišni/a magistar/magistra anesteziologije, reanimatologije i intenzivne medicine (sveučilišni/a magistar/magistra anesteziologije, reanimatologije i intenzivne medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
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Created on2024-02-08 09:21:19