[Perioperative Management in Microsurgery - Consensus Statement of the German Speaking Society for Microsurgery of...

Area of Science:

• Surgical Innovation
• Evidence-Based Medicine
• Microsurgical Techniques

Background:

• Microsurgery perioperative management lacks standardized protocols, leading to varied center-specific practices.
• Existing treatment algorithms often lack systematic evidence, prompting a shift towards less aggressive interventions.
• Recent years show a trend away from unsubstantiated perioperative protocols in microsurgery.

Purpose of the Study:

• To establish consensus on best practices for perioperative management in microsurgery.
• To identify common standards for critical perioperative issues based on available evidence.
• To provide a unified approach for microsurgical centers lacking standardized evidence-based guidelines.

Main Methods:

• Consensus conference discussion at the German Speaking Society for Microsurgery of Peripheral Nerves and Vessels annual meeting.
• Review and discussion of available evidence on key perioperative issues.
• Identification of areas with sufficient evidence to establish common standards.

Main Results:

• Consensus reached on several key perioperative management areas.
• Common basic standards for temperature control, fluid resuscitation, blood transfusions, vasodilators/pressors, and anticoagulants identified.
• Agreement on a unified approach for perioperative care in microsurgery.

Conclusions:

• Established common standards for perioperative management in microsurgery.
• The manuscript outlines a consensus-driven approach to improve microsurgical care.
• This consensus provides a foundation for evidence-based perioperative protocols in microsurgery.