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Intensive Care Medicine

, Volume 45, Issue 12, pp 1799–1801 | Cite as

Post-operative intensive care: is it really necessary?

  • R. M. J. Cashmore
  • A. J. Fowler
  • R. M. PearseEmail author
What's New in Intensive Care

It is estimated that more than 310 million patients receive a surgical treatment each year [1], and the number of procedures performed each year is growing [2, 3, 4, 5, 6]. Despite a majority of cases being performed without significant complication, deaths after surgery have recently been demonstrated to account for a large proportion of all deaths worldwide [7]. For a minority of patients, surgical procedures carry a significant burden of both death and disability. High-risk patients account for approximately 10–15% of the surgical population, but suffer around 80% of post-operative deaths [4, 8]. These high-risk patients have only been loosely defined, being typically older with a higher burden of comorbid disease. The surgical population is ageing at a faster rate than the background population [3]. With increasing numbers of procedures on increasingly high-risk patients, there is a clear need to identify possible interventions that improve peri-operative outcomes [4, 9], with...

Notes

Funding

RP is supported by an NIHR Research Professorship. AJF is supported by an NIHR Doctoral Research Fellowship (DRF-2018-11-ST2-062).

Compliance with ethical standards

Conflicts of interest

RP holds research grants, has given lectures, and/or performed consultancy work for Nestle Health Sciences, BBraun, Medtronic, Glaxo SmithKline, Intersurgical, and Edwards Lifesciences. All the other authors declare no conflicts of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Critical Care and Perioperative Medicine Research GroupQueen Mary University of LondonLondonUK
  2. 2.Adult Critical Care UnitRoyal London HospitalLondonUK

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