作者: Hanne Tønnesen , Sven Wåhlin
DOI:
关键词: Cardiomyopathy 、 Intervention (counseling) 、 Alcohol free 、 Elective surgery 、 Delayed wound healing 、 Patient safety 、 Anesthesia 、 Medical history 、 Pediatrics 、 Medicine 、 Alcohol
摘要: Increasing evidence points out that alcohol intake is a significant risk factor for patient safety at surgery. This review updates the evidence, mechanisms and recommendations. The threshold relatively low; about two standard drinks per day or more weeks prior to surgery double complication rate. include reduced immune capacity, sub-clinical cardiomyopathy, haemostatic imbalance, delayed wound healing increased stress response These organ dysfunctions are significantly improved even normalised during total abstinence from 1 9 weeks. Only RCTs has been performed evaluate effect of intensive intervention elective A 70 % reduction postoperative complications was shown in meta-analysis. targeted complete cessation, with high success Research on acute missing. We recommend patients given information surgical risk, history taking standardised evidence-based programs included guidelines order improve safety.