Clinical guideline and recommendations on pre-operative exercise training in patients awaiting major non-cardiac surgery

Tew, Garry, Ayyash, Reema, Durrand, James and Danjoux, Gerard (2018) Clinical guideline and recommendations on pre-operative exercise training in patients awaiting major non-cardiac surgery. Anaesthesia, 73 (6). pp. 750-768. ISSN 1365-2044

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Preop exercise paper_NRL version.pdf - Accepted Version
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Official URL: https://doi.org/10.1111/anae.14177

Abstract

Despite calls for the routine implementation of pre-operative exercise programmes to optimise patient fitness before elective major surgery, there is no practical guidance for providing safe and effective exercise in this specific context. The following clinical guideline was developed following a review of the evidence on the effects of pre-operative exercise interventions. We developed a series of best-practice and, where possible, evidence-based statements to advise on patient care with respect to exercise training in the perioperative period. These statements include: patient selection for exercise training in surgical patients; integration of exercise training into multi-modal prehabilitation programmes; and advice on exercise prescription factors and follow-up. Although we acknowledge that further research is needed to identify the optimal exercise prescription in different clinical scenarios, we urge perioperative teams to embrace these recommendations.

Item Type: Article
Uncontrolled Keywords: Prehabilitation, Physical exercise, Guideline, Surgery, Postoperative complications
Subjects: A300 Clinical Medicine
C600 Sports Science
Department: Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation
Depositing User: Garry Tew
Date Deposited: 16 Nov 2017 11:23
Last Modified: 19 Jun 2018 18:45
URI: http://nrl.northumbria.ac.uk/id/eprint/32528

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