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[Forward about long duration anesthesia (author's transl)]
Summary
Longer anesthesia and surgical operations increase risks of complications like cellular hypoxia. Pre-operative planning and staff rotation are crucial for managing risks in extended procedures.
Area of Science:
- Anesthesiology and Perioperative Medicine
- Surgical Sciences
Context:
- Surgical and anesthesia durations have significantly increased over recent decades.
- Extended procedures can lead to unapparent pathophysiological phenomena and complications.
Purpose:
- To identify physiological abnormalities associated with prolonged anesthesia and surgery.
- To propose preventative measures for complications arising from long operations.
Summary:
- Anesthesia for very long duration operations (arbitrarily set at eight hours) carries risks, including cellular hypoxia and metabolic deviations.
- Both anesthetic and surgical factors contribute to these risks.
- Pre-operative collaboration among medical, anesthesiological, and surgical teams is essential for risk assessment.
Impact:
- Highlights the need for proactive risk management in extended surgical procedures.
- Emphasizes the importance of staff rotation in high-responsibility settings to mitigate risks associated with prolonged operations.