Highlights the clinical significance of post-operative myocardial and cerebral infarctions as potentially preventable causes of death in surgical patients.
Many of the complications following surgery, pre- viously critical, are now preventable or readily curable as a result of advances in anaesthesia, transfusion, fluid and electrolyte management, and control of infection. Particularly in the geriatric group, where advancing years no longer constitute a bar to major surgery, myocardial infarction and cerebrovascular accidents are too often the causes of post-operative death. These complications, occurring just when recovery after a technically successful operation seemed assured, are erroneously regarded as non-preventable by surgeons, and few recorded studies of surgical patients have been
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Vowles et al. (1958) studied this question.
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