"Ten Optimal Physiological Parameters" to keep the patient safe perioperatively: A narrative review

Anesthesia is a dynamic process that has different effects on the systems in terms of hemodynamics and clinical and psychological aspects, and is not physiological. Anesthesia management and surgery follow-up are complex, and various specialties require knowledge, attitude, practice, and experience. In recent years, innovations in preoperative evaluations, new surgical methods, innovations in pharmacology, advanced technological devices in monitoring, and developments in anesthesia training have reduced morbidity and mortality. When the perioperative period is considered, adequate knowledge, attitude, behavior, awareness, and multidisciplinary and multimodal approaches of anesthesia physicians and nurses are vital. A multidisciplinary team approach (anesthesiologist, nurses, physicians from other specialties, and nurses) in the perioperative period, including medication adjustments and fasting protocols, is extremely important in comprehensive, meticulous preoperative evaluation, in adapting individualized care plans, ensuring postoperative recovery and patient safety, improving outcomes, and contributing to reducing perioperative mortality, morbidity and hospital costs. In our review, we aim to discuss the importance of improving and normalizing physiological parameters in the perioperative period in light of the literature.