Department of Anaesthesiology, Horsens Regional Hospital, Horsens, Denmark.
Department of Anaesthesiology, Centre of Head and Orthopaedics, Rigshospitalet, Denmark.
Acta Anaesthesiol Scand. 2023 Jul;67(6):703-705. doi: 10.1111/aas.14227. Epub 2023 Mar 15.
Pre-anaesthesia assessment is crucial to ensure the quality and safety of anaesthesia and surgery. However, despite being very common and essential for many patients undergoing elective surgery, little is known about the different pre-anaesthesia assessment approaches. Hence, this article outlines a study protocol for a scoping review aiming to, systematically, map the literature on pre-anaesthetic assessment approaches and outcomes, synthesise existing evidence, and identify knowledge gaps for future research.
We will conduct a scoping review of all study designs following the Preferred Reporting Items for Systematic and Meta-Analyses (PRISMA) statement. Moreover, the five steps set forth by Arksey and O'Malley and refined by Levac will guide the review process. Studies with adults (≥18 years) scheduled for elective surgery are included. Data regarding trial characteristics, patients, clinicians performing the pre-anaesthetic assessment, interventions and outcomes are included using a combination of Covidence and Excel. Quantitative data are summarised using descriptive statistics, and qualitative data are presented through a descriptive synthesis.
The outlined scoping review will provide a synthesis of the literature, which can support the development of new evidence-based practices for safe perioperative management of adult patients undergoing elective surgery.
麻醉前评估对于确保麻醉和手术的质量和安全至关重要。然而，尽管对于许多接受择期手术的患者来说，麻醉前评估非常常见且必不可少，但对于不同的麻醉前评估方法知之甚少。因此，本文概述了一项范围综述的研究方案，旨在系统地绘制麻醉前评估方法和结果的文献图谱，综合现有证据，并确定未来研究的知识空白。
我们将遵循系统评价和荟萃分析的首选报告项目 (PRISMA) 声明对所有研究设计进行范围综述。此外，Arksey 和 O'Malley 提出并由 Levac 改进的五个步骤将指导审查过程。纳入计划接受择期手术的成年人（≥18 岁）的研究。使用 Covidence 和 Excel 的组合来包括有关试验特征、患者、进行麻醉前评估的临床医生、干预措施和结果的数据。使用描述性统计数据总结定量数据，并通过描述性综合呈现定性数据。
概述的范围综述将对文献进行综合，这可以为安全管理成年择期手术患者的围手术期管理提供新的循证实践的发展。
