Abstract

Critical care and perioperative monitoring.

Highlights

  • The prevention of perioperative complications has obvious implications both to patients and to health care systems

  • Up to 4% of noncardiac surgery patients may die and more will develop postoperative complications that will prolong the duration of intensive care unit (ICU) hospitalization and reduce long-term survival

  • The integration of the Stewart-Figge approach in the routine interpretation of arterial blood gases is becoming increasingly popular. This approach, amongst other things, aids in evaluating the anion gap value while taking into account its dependence on the concentrations of the nonvolatile weak acids, which in turn has improved our understanding regarding metabolic acidosis [12]. Another important development in respiratory monitoring has been the introduction of the new Berlin definition of acute respiratory distress syndrome (ARDS) as the pertinent task force has categorized ARDS as mild, moderate, and severe, without excluding the presence of heart failure [13]

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Summary

Introduction

The prevention of perioperative complications has obvious implications both to patients and to health care systems. With over 230 million surgical procedures performed annually around the globe, the successful management of perioperative complications either in the operating room or in the intensive care unit (ICU) is becoming a major concern for health care providers. Up to 4% of noncardiac surgery patients may die and more will develop postoperative complications that will prolong the duration of ICU hospitalization and reduce long-term survival.

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