The Synergy of Perioperative Leadership Practice in General Surgery and Anesthesiology: An Evidence-Based Critical Analysis on Mitigating the Metabolic Response to Trauma and Optimizing Perioperative Outcomes
The Synergy of Perioperative Leadership Practice in General Surgery and Anesthesiology: An Evidence-Based Critical Analysis on Mitigating the Metabolic Response to Trauma and Optimizing Perioperative Outcomes
DOI:
https://doi.org/10.51473/rcmos.v1i2.2025.2014Keywords:
General Surgery. Anesthesiology. Metabolic Response to Trauma. Patient Safety. Perioperative Medicine.Abstract
This scientific review and clinical analysis article proposes a care model based on the integration of General Surgery and Anesthesiology competencies, aiming at patient safety and health system efficiency. The research explores the pathophysiology of surgical trauma and how the performance of a professional with transversal training—capable of understanding operative technique and overseeing the modulation of the anesthetic physiological response—acts as a determinant in reducing morbidity and mortality. Grounded in World Health Organization (WHO) guidelines, Enhanced Recovery After Surgery (ERAS) protocols, and Cochrane Library evidence up to 2023, the study delves into clinical prehabilitation in primary care, invasive hemodynamic monitoring, difficult airway management planning, and multimodal analgesia. A complex case study demonstrating the practical application of these concepts in workflow management within an urgency setting is included. It is concluded that systemic vision and integrated clinical coordination are imperatives for excellence in modern perioperative medicine.
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