高风险手术 recent策略
Major surgical societies have been publishing perioperative recommendations for over half a century, based on committees conducting reviews of the literature. Surgical books fundamentally target the intraoperative period when anesthesia is going on. Fatalities are often embedded in a larger context of systemic failures, in which initial problems are sidestepped or mishandled till they become overwhelming and irreversible. There must be a guiding principle and a truly integrated approach for each condition and treatment, of course based on the strongest available evidence.
半个多世纪以来,大型外科协会一直在基于委员会对文献进行审查的基础上发布围手术期建议。外科书籍从根本上针对的是麻醉正在进行的手术期间。许多死亡案例往往嵌入在系统性失败的大背景下,最初的麻烦要么被忽视,要么被不当处理,最终变得无法逆转且不可挽回。当然,必须有一个指导原则并采用真正集成的方法来应对每一种情况和治疗方法,基于最强有力的现有证据。
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