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Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Principles of Rodent Surgery for the New Surgeon
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Preparing for and Not Waiting for Surgery.

Andrew Bates1,2, Malcolm A West1,2, Sandy Jack1,2

  • 1Perioperative and Critical Care Medicine Theme, NIHR Southampton Biomedical Research Centre, University Hospital Southampton/University of Southampton, Southampton SO16 6YD, UK.

Current Oncology (Toronto, Ont.)
|February 23, 2024
PubMed
Summary
This summary is machine-generated.

Cancer surgery impacts patient health, increasing demand globally. This review proposes personalized prehabilitation, a proactive approach to optimize patient preparation and mitigate surgical risks for better outcomes.

Keywords:
cancer surgerycognitiveexercisefunctional capacitynutritionperioperative medicinephysical fitnessprehabilitationpsychology

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Area of Science:

  • Perioperative Medicine
  • Surgical Oncology
  • Public Health

Background:

  • Cancer surgery is a critical treatment but poses significant physical and psychological risks to patients.
  • The global demand for surgical procedures is rising, highlighting the need for improved patient management strategies.
  • Perioperative medicine focuses on optimizing patient outcomes through enhanced preparation for surgical stress.

Purpose of the Study:

  • To increase awareness of the public health implications of cancer surgery.
  • To introduce a framework for preoperative risk assessment.
  • To advocate for personalized prehabilitation to reduce surgical risks.

Main Methods:

  • Universal screening for risk factors including physical fitness, nutrition, psychological health, frailty, and cognitive function.
  • Formal assessment for at-risk patients by healthcare professionals.
  • Development of personalized prehabilitation plans involving exercise, nutrition, psychological support, and education.

Main Results:

  • A stepwise framework for preoperative risk evaluation is presented.
  • Personalized prehabilitation is proposed as a method to mitigate surgical risks.
  • The principles of prehabilitation are adaptable to diverse local contexts and populations.

Conclusions:

  • Prehabilitation is a vital component of perioperative care, requiring multidisciplinary input and stakeholder co-design.
  • Further research is needed to optimize prehabilitation interventions and evaluate their health economic impact.
  • Personalized prehabilitation can improve clinical outcomes and patient well-being in cancer surgery.