ICU · Perioperative critical care

Perioperative Critical Care

Also known as Perioperative medicine · High-risk surgery · Preoperative optimisation · Postoperative complications · Enhanced recovery · Goal-directed therapy · MINS · ERAS

Perioperative critical care is the optimisation of the high-risk surgical patient before, during, and after the operation — the preoperative risk assessment (the cardiopulmonary exercise testing, the POSSUM/ACS-NSQIP scoring, the smoking cessation, the anaemia correction, the glycaemic control), the enhanced recovery after surgery (ERAS) bundle, the intraoperative goal-directed therapy (the cardiac output, the fluid responsiveness, the stroke-volume optimisation, the oxygen delivery), the postoperative monitoring (the HDU/ICU), and the system-by-system complications (the cardiac — the AF and the myocardial injury after noncardiac surgery [MINS]; the respiratory — the atelectasis, the pneumonia, the PE; the renal — the AKI; the GI — the ileus and the anastomotic leak; the wound — the infection and the dehiscence), the goal-directed fluid, the multimodal opioid-sparing analgesia, and the postoperative nausea and vomiting.

Checked against its sources on 3 Sept 2026