Informasjon Enhver operasjon medfører en sammensatt stressreaksjon i form av omfattende endringer i forbrenningen og i kroppens reaksjon på betennelse, med blant annet påvirket immunfunksjon.
Risiko ved operasjon
Til tross for betydelige fremskritt innenfor anestesi (bedøvelse/narkose) og kirurgi er større kirurgiske inngrep fortsatt beheftet med en viss risiko for skader og død, samt behov for å ligge på sykehus.
Sist oppdatert:
28. sep. 2022
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Dette dokumentet er basert på det profesjonelle dokumentet Operasjon, risikovurderinger . Referanselisten for dette dokumentet vises nedenfor
Referanser
- Hoogendijk EO, Afilalo J, Ensrud KE, et al. Frailty: implications for clinical practice and public health. Lancet. 2019 Oct 12;394(10206):1365-1375. PMID: 31609228. PubMed
- Panayi AC, Orkaby AR, Sakthivel D, et al. Impact of frailty on outcomes in surgical patients: A systematic review and meta-analysis. Am J Surg. 2019 Aug;218(2):393-400. Epub 2018 Nov 27. PMID: 30509455. PubMed
- Thomsen T, Villebro N, Møller AM. Interventions for preoperative smoking cessation. Cochrane Database of Systematic Reviews 2014, Issue 3. Art. No.: CD002294. DOI: 10.1002/14651858.CD002294.pub4. DOI
- Lumb AB. Pre-operative respiratory optimisation: an expert review. Anaesthesia. 2019;74 Suppl 1:43-48. PMID: 30604419 PubMed
- Dalsgaard Nielsen J, Schnack Rasmussen HM, Elkjær Husted S. Den antitrombotisk behandlede patient. Ugeskr Læger 2006; 168: 4296. PubMed
- Douketis JD, Lip GYH. Perioperative management of patients receiving anticoagulants. UpToDate, last updated Sep 24, 2018. UpToDate
- Galliazzo S, Donadini MP, Ageno W. Antidotes for the direct oral anticoagulants: What news?. Thromb Res. 2018 Apr;164 Suppl 1:S119-S123 . pmid:29703468 PubMed
- Ernst A, Eberhardt R, Wahidi M. Effect of routine clopidogrel use on bleeding complications after transbronchial biopsy in humans. Chest 2006; 129: 734-7. PubMed
- Sharma S, Arora L. Anesthesia for the Morbidly Obese Patient. Anesthesiol Clin. 2020;38(1):197-212. PubMed
- Bazurro S, Ball L, Pelosi P. Perioperative management of obese patient. Curr Opin Crit Care. 2018;24(6):560-567. PubMed
- Kristensen SD, Knuuti J, Saraste A, Anker S, Bøtker HE,, 2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management: The Joint Task Force on non-cardiac surgery: cardiovascular assessment and management of the European Society of Cardiology (ESC) and the European Society of Anaesthesiology (ESA).. Eur Heart J. 2014;35: 2383 PubMed
- Smilowitz NR, Berger JS. Perioperative Cardiovascular Risk Assessment and Management for Noncardiac Surgery: A Review. JAMA. 2020;324(3):279-290. PubMed
- Devereaux PJ, Goldman L, Cook DJ et al. Perioperative cardiac events in patients undergoing noncardiac surgery: a review of the magnitude of the problem, the patophysiology of the events and methods to estimate and communicate risk. CMAJ 2005; 173: 627-34. Canadian Medical Association Journal
- Christiansen C, Andersen C, Møller M et al. Rekommandationer for perioperativ behandling af patienter med pacemaker eller ICD. 2005. Dansk Anæstesiologisk Selskab. www.dasaim.dk/ august 2006.
- Gjedsted J, Astrup G, Tønnesen E. Operationsrisiko for lungesyge patienter. Ugeskr Læger 2006; 168: 4312. PubMed
- Smetana GW, Lawrence VA, Cornell JE. Preoperative pulmonary risk stratification for noncardiothoracic surgery: systematic review for the American College of Physicians. Ann Intern Med 2006; 144: 581-95. Annals of Internal Medicine
- Lawrence VA, Cornell JE, Smetana GW. Strategies to reduce postoperative pulmonary complications after noncardiothoracic surgery: systematic review for the American College of Physicians. Ann Intern Med 2006; 144: 596-608. Annals of Internal Medicine
- Friedman LS. Assessing surgical risk in patients with liver disease. UpToDate, last updated Jun 01, 2021. UpToDate
- Norwitz ER, Park JS. Nonobstetric surgery in pregnant patients: Patient counseling, surgical considerations, and obstetric management. UpToDate, last updated Sep 16, 2021. UpToDate
- Sjøgren P, Rindom H. Den medicin- og stofmisbrugende patient. Ugeskr Læger 2006; 168: 4317. PubMed
- Kjær M, Suetta C, Tønnesen H. Den fysisk inaktive operationspatient. Ugeskr Læger 2006; 168: 4322. PubMed
- Paddon-Jones D, Wolfe RR, Ferrando AA. Amino acid supplementation for reversing bed rest and steroid myopathies. J Nutr 2005; 135: 1809-12. PubMed
- Nasraway SA Jr, Albert M, Donnelly AM et al. Morbid obesity is an independent determinant of death among surgical critically 111 patients. Crit Care Med 2006; 34: 964-70. PubMed
- Smith HS, Smith EJ, Smith BR. Postoperative nausea and vomiting. Ann Palliat Med. 2012 Jul;1(2):94-102. PMID: 25841469. PubMed
- Elin Kismul Aakre. Postoperativ kvalme og oppkast. Metodebok i Anestesi. Sist oppdatert 02.06.17. Nettsiden besøkt 17.10.22. metodebok.no
- Hoogeboom TJ, Dronkers JJ, Hulzebos EH, van Meeteren NL. Merits of exercise therapy before and after major surgery. Curr Opin Anaesthesiol. 2014 Apr;27(2):161-6. PMID: 24500337. PubMed
- Husby VS, Foss OA, Husby OS, Winther SB. Randomized controlled trial of maximal strength training vs. standard rehabilitation following total knee arthroplasty. Eur J Phys Rehabil Med. 2018 Jun;54(3):371-379. PMID: 28901118. PubMed
- Holm L, Esmarck B, Mizuno M et al. The effect of protein and carbohydrate supplementation on strength training outcome of rehabilitation in ACL patients. J Orthop Res 2006; 24: 2114-23. PubMed