OPUS
Optimizing Patients Undergoing Surgery
FAILURE TO RESCUE – A NEGLECTED PROBLEM OF PATIENT SAFETY
It is well known that surgical mortality varies between hospitals and that hospitals with large volume of surgery tend of have lower mortality rates. Intuitively, this leads to the hypothesis, that in hospitals with higher case load fewer complications occur. In fact, this is not the case. It has been shown, that in hospitals with low mortality rates less deaths occur after major complications, where-as the complication rates are similar. The aim of OPUS was to optimize perioperative management of surgical patients in order to identify patients at risk, avoid intra- and postoperative complications, and to detect complications early and to treat
these early, adequately and aggressively.
TASK FORCE - Optimizing Patients Undergoing Surgery (OPUS)
The goal of the task force for “Optimizing Patients Undergoing Surgery” (OPUS) was to establish recommendations of best practice patterns for optimal management of patients undergoing surgery. In order to achieve this goal an interdisciplinary task force was convened.
The OPUS task force comprised members from all disciplines involved in the perioperative care of patients. Prof. Andreas Hoeft coordinated these activities as they are involved in the perioperative management of nearly all surgical patients. The task force comprised members from all major surgical disciplines, in particular general surgery, orthopaedic and trauma surgery, gynaecology and obstetrics, urology, ENT, neuro- and cardiac surgery and also smaller disciplines such as oralfascial surgery, eye surgery and plastic surgery. The umbrella for all these disciplines was the European Patient Safety Foundation.
OPUS EDITORIAL ARTICLES
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Optimizing patients undergoing surgery: a matter of ‘eminence-based medicine’?
Hoeft, Andreas; Baumgarten, Georg; Boehm, Olaf Optimizing patients undergoing surgery, Current Opinion in Anaesthesiology: June 2016 - Volume 29 - Issue 3 - p 372-375 doi: 10.1097/ACO.0000000000000347
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Optimizing patients undergoing surgery (OPUS): Part II - still a matter of ‘eminence-based medicine’?
Hoeft, Andreas; Boehm, Olaf; Baehner, Torsten Optimizing patients undergoing surgery (OPUS), Current Opinion in Anaesthesiology: June 2017 - Volume 30 - Issue 3 - p 390-391 doi: 10.1097/ACO.0000000000000474
OPUS RECOMMENDATIONS
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The patient with anemia
Shander, Aryeh; Javidroozi, Mazyar The patient with anemia, Current Opinion in Anaesthesiology: June 2016 - Volume 29 - Issue 3 - p 438-445 doi: 10.1097/ACO.0000000000000340
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Anesthesia in adults with congenital heart disease
Shander, Aryeh; Javidroozi, Mazyar The patient with anemia, Current Opinion in Anaesthesiology: June 2016 - Volume 29 - Issue 3 - p 438-445 doi: 10.1097/ACO.0000000000000340
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Patients prone for postoperative delirium: preoperative assessment, perioperative prophylaxis, postoperative treatment
Guenther, Ulf; Riedel, Linda; Radtke, Finn M. Patients prone for postoperative delirium, Current Opinion in Anaesthesiology: June 2016 - Volume 29 - Issue 3 - p 384-390 doi: 10.1097/ACO.000000000000032
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The impact of glycaemic variability on the surgical patient (diabetes)
Dhatariya, Ketan; Levy, Nicholas; Hall, George M. The impact of glycaemic variability on the surgical patient, Current Opinion in Anaesthesiology: June 2016 - Volume 29 - Issue 3 - p 430-437 doi: 10.1097/ACO.0000000000000326
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Frailty and anesthesia
Shem Tov, Lior; Matot, Idit Frailty and anesthesia, Current Opinion in Anaesthesiology: June 2017 - Volume 30 - Issue 3 - p 409-417 doi: 10.1097/ACO.0000000000000456
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The patient with chronic heart failure undergoing surgery
Smit-Fun, Valérie; Buhre, Wolfgang F. The patient with chronic heart failure undergoing surgery, Current Opinion in Anaesthesiology: June 2016 - Volume 29 - Issue 3 - p 391-396 doi: 10.1097/ACO.0000000000000335
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The patient with hypertension undergoing surgery
Lapage, Koen G.; Wouters, Patrick F. The patient with hypertension undergoing surgery, Current Opinion in Anaesthesiology: June 2016 - Volume 29 - Issue 3 - p 397-402 doi: 10.1097/ACO.0000000000000343
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Does major surgery induce immune suppression and increase the risk of postoperative infection?
Torrance, Hew D.T.; Pearse, Rupert M.; O’Dwyer, Michael J. Does major surgery induce immune suppression and increase the risk of postoperative infection?, Current Opinion in Anaesthesiology: June 2016 - Volume 29 - Issue 3 - p 376-383 doi: 10.1097/ACO.0000000000000331
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Anesthesia in patients with infectious disease caused by multi-drug resistant bacteria
Einav, Sharona; Wiener-Well, Yonitb Anesthesia in patients with infectious disease caused by multi-drug resistant bacteria, Current Opinion in Anaesthesiology: June 2017 - Volume 30 - Issue 3 - p 426-434 doi: 10.1097/ACO.0000000000000457
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Anaesthesia in patients with liver disease
Starczewska, Malgorzata H.a; Mon, Wintb; Shirley, Petera Anaesthesia in patients with liver disease, Current Opinion in Anaesthesiology: June 2017 - Volume 30 - Issue 3 - p 392-398 doi: 10.1097/ACO.0000000000000470
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Myocardial injury after noncardiac surgery: an underappreciated problem and current challenges
Mauermann, Eckhard; Puelacher, Christian; Lurati Buse, Giovanna Myocardial injury after noncardiac surgery, Current Opinion in Anaesthesiology: June 2016 - Volume 29 - Issue 3 - p 403-412 doi: 10.1097/ACO.0000000000000336
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Anesthetic consideration for neuromuscular diseases
Katz, Jeffery A.; Murphy, Glenn S. Anesthetic consideration for neuromuscular diseases, Current Opinion in Anaesthesiology: June 2017 - Volume 30 - Issue 3 - p 435-440 doi: 10.1097/ACO.0000000000000466
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The obese patient undergoing nonbariatric surgery
Bluth, Thomas; Pelosi, Paolo; de Abreu, Marcelo Gama The obese patient undergoing nonbariatric surgery, Current Opinion in Anaesthesiology: June 2016 - Volume 29 - Issue 3 - p 421-429 doi: 10.1097/ACO.0000000000000337
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Patient with chronic renal failure undergoing surgery
Meersch, Melanie; Schmidt, Christoph; Zarbock, Alexander Patient with chronic renal failure undergoing surgery, Current Opinion in Anaesthesiology: June 2016 - Volume 29 - Issue 3 - p 413-420 doi: 10.1097/ACO.0000000000000329
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Prevention of respiratory complications of the surgical patient: actionable plan for continued process improvement
Ruscic, Katarina J.a; Grabitz, Stephanie D.a; Rudolph, Maíra I.a; Eikermann, Matthiasa,b Prevention of respiratory complications of the surgical patient, Current Opinion in Anaesthesiology: June 2017 - Volume 30 - Issue 3 - p 399-408 doi: 10.1097/ACO.0000000000000465