术前术后期的降低死亡率

English | 2017 | ISBN: 331946695X | 158 Pages | PDF | 2.44 MB

This second edition presents the first update on a consensus process during which all evidence from the literature with a survival benefit in the perioperative period was gathered, and in which 500 physicians from 61 countries worked to confirm the findings.

Perioperative morbidity and mortality currently represent a public health problem, as mortality alone is 1-4% in Western countries. Surprisingly, randomized evidence of survival benefit in the perioperative period is available for only 12 topics, while two drugs have been demonstrated to increase mortality. This book offers a complete description of each topic with updated evidence from the literature. Each chapter deals with a specific drug or technique and is structured into the following: background knowledge, main evidence from the literature, and a practical how-to section. Lastly, the book describes in detail the consensus process used, which served to reinforce the systematic review and which is currently being used and improved in other settings with growing success.

Written by respected international experts, Reducing Mortality in the Perioperative Period, 2nd ed. will be of interest to a wide variety of specialists, including anesthesiologists, intensivists, surgeons and cardiologists.

第二版介绍了共识过程的首次更新，该过程中汇集了围手术期所有有生存益处证据的文献，并且61个国家的500名医生参与以确认发现。 目前，围手术期的发病率和死亡率代表了一个公共卫生问题。在西方国家，单纯死亡率就达到1%-4%。令人惊讶的是，在围手术期随机证据中仅有12个主题显示生存益处，而有两种药物已证明会增加死亡率。本书提供了每个主题的完整描述，并更新了文献中的相关证据。每章都专门针对特定的药物或技术，并分为以下部分：背景知识、来自文献的主要证据以及实用操作指南。最后，该书详细描述了使用的共识过程，这一过程有助于强化系统性回顾，并且在其他地方正被采用和改进，取得了越来越大的成功。 由国际知名专家撰写的《围手术期降低死亡率》，第二版将对麻醉师、重症监护医生、外科医生和心脏病学家等众多专科医生感兴趣。

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