Major elective surgery is known to contribute to intensive care occupancy, with a significant mortality rate. Routine preoperative optimisation of patients undergoing major elective surgery is found to give a significant and cost effective improvement in perioperative care. Criteria that were used to select patients for routine preoperative optimisation for a large randomised controlled trial are shown at Table 1. When performing major surgery, the extent of necessary perioperative monitoring is usually dependent on the view of the anaesthetist, while the site of postoperative care is dependent on the anticipated development of complications and the availability of intensive care or high dependency beds.

, ,
Radiometer NL, financially supported the publication of this thesis. Also did: Abbott, B. Braun Medical, Dräger Medical NL and GlaxoSmithKline
W. Erdmann (Wilhelm)
Erasmus University Rotterdam
Erasmus MC: University Medical Center Rotterdam

Hofland, J. (2003, September 19). Anaesthetic aspects of simultaneous aortocaval occlusion. Retrieved from