학술논문
Recommendations from the Italian intersociety consensus on Perioperative Anesthesia Care in Thoracic surgery (PACTS) part 1: preadmission and preoperative care
Document Type
Academic Journal
Author
Piccioni, Federico; Droghetti, Andrea; Bertani, Alessandro; Coccia, Cecilia; Corcione, Antonio; Corsico, Angelo Guido; Crisci, Roberto; Curcio, Carlo; Del Naja, Carlo; Feltracco, Paolo; Fontana, Diego; Gonfiotti, Alessandro; Lopez, Camillo; Massullo, Domenico; Nosotti, Mario; Ragazzi, Riccardo; Rispoli, Marco; Romagnoli, Stefano; Scala, Raffaele; Scudeller, Luigia; Taurchini, Marco; Tognella, Silvia; Umari, Marzia; Valenza, Franco; Petrini, Flavia
Source
Perioperative Medicine. December 1, 2020, Vol. 9 Issue 1
Subject
Language
English
ISSN
2047-0525
Abstract
Introduction Anesthetic care in patients undergoing thoracic surgery presents specific challenges that necessitate standardized, multidisciplionary, and continuously updated guidelines for perioperative care. Methods A multidisciplinary expert group, the Perioperative Anesthesia in Thoracic Surgery (PACTS) group, comprising 24 members from 19 Italian centers, was established to develop recommendations for anesthesia practice in patients undergoing thoracic surgery (specifically lung resection for cancer). The project focused on preoperative patient assessment and preparation, intraoperative management (surgical and anesthesiologic care), and postoperative care and discharge. A series of clinical questions was developed, and PubMed and Embase literature searches were performed to inform discussions around these areas, leading to the development of 69 recommendations. The quality of evidence and strength of recommendations were graded using the United States Preventative Services Task Force criteria. Results Recommendations for preoperative care focus on risk assessment, patient preparation (prehabilitation), and the choice of procedure (open thoracotomy vs. video-assisted thoracic surgery). Conclusions These recommendations should help pulmonologists to improve preoperative management in thoracic surgery patients. Further refinement of the recommendations can be anticipated as the literature continues to evolve. Keywords: Perioperative care, Pneumonectomy, Practice guideline, Risk assessment, Thoracic surgery
Author(s): Federico Piccioni[sup.1], Andrea Droghetti[sup.2], Alessandro Bertani[sup.3], Cecilia Coccia[sup.4], Antonio Corcione[sup.5], Angelo Guido Corsico[sup.6], Roberto Crisci[sup.7], Carlo Curcio[sup.8], Carlo Del Naja[sup.9], Paolo Feltracco[sup.10], Diego Fontana[sup.11], Alessandro Gonfiotti[sup.12], Camillo Lopez[sup.13], Domenico [...]
Author(s): Federico Piccioni[sup.1], Andrea Droghetti[sup.2], Alessandro Bertani[sup.3], Cecilia Coccia[sup.4], Antonio Corcione[sup.5], Angelo Guido Corsico[sup.6], Roberto Crisci[sup.7], Carlo Curcio[sup.8], Carlo Del Naja[sup.9], Paolo Feltracco[sup.10], Diego Fontana[sup.11], Alessandro Gonfiotti[sup.12], Camillo Lopez[sup.13], Domenico [...]