Fischer Dania, Byhahn Christian, Reyher Christian, Wilke Hans-Joachim
Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum Frankfurt, Theodor-Stern-Kai 7, Frankfurt am Main.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2013 Jun;48(6):392-6. doi: 10.1055/s-0033-1349002. Epub 2013 Jul 4.
The Helsinki Declaration offers guidelines for the warranty and improvement of patient safety in Anaesthesiology. The assessment of elective patients and their preoperative optimization plays a key role herein. Individual risk factors and preexisting pathologies have to be identified in order to initiate specific pre- and aftercare and an appropriate monitoring. The measures need to be evidence-based, goal-oriented and efficient. Our recommendations aim at elective adult patients planned for non-cardiac and non-lung-resecting surgery and stress the importance of gathering information from patients, performing physical examinations and arranging further diagnostic customized upon these findings only in contrast to routine testing. They shall spark the formulation or improvement of center-based, interdisciplinary standards of procedure in order to fulfill our great responsibility for the perioperative care of our patients.
《赫尔辛基宣言》为麻醉学领域患者安全的保障与提升提供了指导方针。择期手术患者的评估及其术前优化在此过程中起着关键作用。必须识别个体风险因素和既往存在的病症，以便启动特定的术前和术后护理以及适当的监测。这些措施需要基于证据、目标导向且高效。我们的建议针对计划进行非心脏和非肺部切除手术的择期成年患者，强调仅根据这些发现从患者处收集信息、进行体格检查并安排进一步定制诊断的重要性，而非进行常规检查。它们应促使制定或完善基于中心的跨学科操作标准，以履行我们对患者围手术期护理的重大责任。
