Wiener klinische Wochenschrift
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Wien. Klin. Wochenschr. · Jul 2011
ReviewMinimizing cardiac risk in perioperative practice - interdisciplinary pharmacological approaches.
In an aging population, major surgery is often performed in patients with complex co-morbidities. These patients present new risk constellations so that cardiac and respiratory complications mainly contribute to perioperative morbidity. ⋯ All the concepts described require an interdisciplinary approach in collaboration between operative physicians and physicians working in non-surgical disciplines like internal medicine, cardiology, and clinical pharmacology. The perioperative continuation of a pre-existing therapy with beta-blockers and other potentially cardioprotective agents like α(2)-agonists and statines is recommended. In the management of patients presenting for major surgery stratification of the perioperative risk is essential which considers both, invasiveness of the surgical procedure and conditions of the patient. Otherwise, side-effects might outweigh benefits of a potentially effective therapy as recently shown for the perioperative administration of beta-blockers that should be restricted to high-risk patients.
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Wien. Klin. Wochenschr. · Jul 2011
ReviewConsumer participation and organizational development in health care: a systematic review.
To provide an overview of published data on user participation in Health Care. ⋯ Most consumer participation projects were performed in research agenda setting, internal medicine/oncology, and health worker training. Various methods have been used in the projects, the level of consumer participation was low, and the success rate of the investigated projects was moderate. Potential factors associated with project success and future areas of research are discussed.
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Wien. Klin. Wochenschr. · Jul 2011
ReviewConsumer participation and organizational development in health care: a systematic review.
To provide an overview of published data on user participation in Health Care. ⋯ Most consumer participation projects were performed in research agenda setting, internal medicine/oncology, and health worker training. Various methods have been used in the projects, the level of consumer participation was low, and the success rate of the investigated projects was moderate. Potential factors associated with project success and future areas of research are discussed.