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April 11, 2012Anaesthesia

‘The future ain’t what it used to be’– reflections on the evolution of anaesthesia

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Key result

Editorial emphasizes significant UK critical care improvements despite historically higher peri-operative mortality versus the USA.

  • 9.9% vs 2.1%

Why the study?

There is concern about higher risk-adjusted mortality for non-cardiac surgery in the UK compared to the USA and the need to improve peri-operative outcomes through critical care investment.

Design

Editorial reflecting on evolution of anaesthesia and critical care in the UK

Authors

DGD. R. GoldhillCWC. WaldmannNSN. Soni

Discussion

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Overview

UK peri-operative care advances support sustained critical care investment despite constraints; leaves open need for updated UK-USA outcome benchmarks.

PICO

P
Population
Peri-operative mortality
E
Exposure / Comparator
Critical care investment

An editorial reflecting on the evolution of anaesthesia and critical care in the UK, emphasizing that despite current financial constraints, long-term improvements in peri-operative care have been substantial.

Limitations

  • Scoring systems like P-POSSUM have limitations when comparing outcomes across different countries with markedly different healthcare organizations.

Cite This Study

Goldhill et al. (2012) conducted an editorial in Peri-operative mortality. Critical care investment was evaluated. Historical data showed higher peri-operative mortality in the UK versus the USA (9.9% vs 2.1%), but this editorial emphasizes that significant improvements in UK critical care have since occurred.

synapsesocial.com/papers/6aabb92105eef562f4a8be1ahttps://doi.org/10.1111/j.1365-2044.2012.07138.x
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