J Anesth Perioper Med. 2014;1(1):3-4. https://doi.org/10.24015/ebcmed.japm.2014.0001
Co-Editor in Chief, Journal of Anesthesia and Perioperative Medicine; Professor and Chairman, Department of Anesthesiology, Xuanwu Hospital of Capital Medical University, Beijing, China.
EBCMED ID: ebcmed.japm.2014.0002 DOI: 10.24015/ebcmed.japm.2014.0002
The idea of co-founder of Journal of Anesthesia and Perioperative Medicine (JAPM) originates from the advocacy of Professor Jin Liu. The journal is sponsored by West China Hospital of Sichuan University and Xuanwu Hospital of Capital Medical University. The pragmatic spirit and strong endorsement from hospital leaders of above mentioned two hospitals ultimately promotes the publication of JAPM.
The development of modern anesthesiology originates from ethylether anesthesia implemented at Massachusetts General Hospital (MGH) in 1846 (1), which marks a new progression in perioperative medicine. New advances in devices and drugs promote the continuous development in perioperative medicine, and the progress in subspecialties of anesthesiology, pain medicine and critical care medicine will further carry the anesthesiology to a new stage in its development, the evidence- based guidelines on perioperative management accelerate the persistent improvement of quality and safety of care (2-6). Despite continuous decline in perioperative mortality rates (7, 8), while look at the development of perioperative medicine over the past two decades, actually, the perioperative mortality rates do not decrease significantly with time. Thus, we ask ourselves whether the development of anesthesiology has been perfect.
Based on the results of large, multi-center studies evaluating the perioperative outcomes of patients over the past decade, we believe that, the development of anesthesiology should not only focus on the postoperative outcomes, and efforts should be made to improve perioperative process which may affect the long-term prognosis of patients, such as postoperative cognitive dysfunction (POCD) (9, 10) and postoperative long- term recurrence rate, mortality and survival rates of patients with cancer (11, 12), which will promote the anesthesiology to a new stage of "long march".
Anesthesiologists may become the "leader" in perioperative medicine in future due to the potential effect of anesthesia on long-term patient outcome. We have recently seen dramatic improvements in the care of patients undergoing major surgeries as a result of a multimodal, evidence based perioperative care pathway -- Enhanced Recovery After Surgery (ERAS) program, including goal- directed fluid management (13, 14) and acute postoperative pain management (15) that are key factors predicting postoperative outcomes. The ERAS program has been validated to achieve early recovery after major surgeries by maintaining preoperative organ function and reducing the profound stress response following surgery, including morbidity and mortality, length of stay (16, 17). Within our broad mission to improve the quality and outcomes of healthcare, we should develop new knowledge in areas relevant to perioperative medicine by conducting innovative and important clinical, translational and basic science researches.
JAPM is dedicated to improve the quality of care and outcomes of patients, and promote the continuous improvement of perioperative medicine by multidisciplinary collaboration and integration. The multidisciplinary, collaborative researches, which will play a leading role in promoting academic development, are welcomed.
Many thanks for the support and encouragement provided by anesthesiologists both at home and abroad, I believe that JAPM will become the most widely read and influential anesthesiology periodical through our continuous efforts.
Article Type
Inaugural Editorial
Declaration of Interests
The author has no financial support and potential conflict of interest for this work.
This is an open-access article, published by Evidence Based Communications (EBC). This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium or format for any lawful purpose. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
References1. LeVasseur R, Desai SP. Ebenezer Hopkins Frost (1824- 1866): William T.G. Morton's first identified patient and why he was invited to the Ether demonstration of October 16, 1846. Anesthesiology 2012; 117: 238-42.
2. Vetter TR, Ivankova NV, Goeddel LA, McGwin G Jr, Pittet JF, UAB Perioperative Surgical Home Group. An analysis of methodologies that can be used to validate if a perioperative surgical home improves the patient- centeredness, evidence-based practice, quality, safety, and value of patient care. Anesthesiology 2013; 119: 1261-74.
3. Crosby E. Review article: the role of practice guidelines and evidence-based medicine in perioperative patient safety. Can J Anaesth 2013; 60: 143-51.
4. Haeck PC, Swanson JA, Iverson RE, Lynch DJ, ASPS Patient Safety Committee. Evidence-based patient safety advisory: patient assessment and prevention of pulmonary side effect in surgery. Part 1. Obstructive sleep apnea and obstructive lung disease. Plast Reconstr Surg 2009; 124(4 Suppl): 45S-56S.
5. Haeck PC, Swanson JA, Iverson RE, Lynch DJ, ASPS Patient Safety Committee. Evidence-based patient safety advisory: patient assessment and prevention of pulmonary side effect in surgery. Part 2. Patient and procedural risk factors. Plast Reconstr Surg 2009; 124 (4 Suppl): 57S-67S.
6. Brooke BS, Perler BA, Dominici F, Makary MA, Pronovost PJ. Reduction of in-hospital mortality among California hospitals meeting leapfrog evidencebased standards for abdominal aortic aneurysm repair. J Vasc Surg 2008; 47: 1155-6.
7. Auroy Y, Benhamou D, Péquiqnot F, Bovet M, Jougla E, Lienhart A. Mortality related to anaesthesia in France: analysis of deaths related to airway complications. Anaesthesia 2009; 64: 366-70.
8. Benhamou D, Chassard D, Mercier FJ, Bouvier-Colle MH. The seventh report of the confidential enquiries into maternal deaths in the United Kingdom: comparison with French data. Ann Fr Anesth Reanim 2009; 28: 38-43.
9. Kapila AK, Watts HR, Wang T, Ma D. The impact of surgery and anesthesia on post-operative cognitive decline and alzheimer's disease development: biomarkers and preventive strategies. J Alzheimers Dis 2014; 41: 1-13.
10. Ballard C, Jones E, Gauge N, Aarsland D, Nilsen OB, Saxby BK, et al. Correction: Optimized anesthesia to reduce post-operative cognitive decline (POCD) in older patients undergoing elective surgery, a randomized controlled trial. PLoS One 2013; 8.
11. Kaye AD, Patel N, Bueno FR, Hymel B, Vadivelu N, Kodumudi G, et al. Effect of Opiates, anesthetic techniques, and other perioperative factors on surgical cancer patients. Ochsner J 2014; 14: 216-28.
12. Das J, Kumar S, Khanna S, Mehta Y. Are we causing the recurrence-impact of perioperative period on long- term cancer prognosis: Review of current evidence and practice. J Anaesthesiol Clin Pharmacol 2014; 30:153-9.
13. Feldheiser A, Conroy P, Bonomo T, Cox B, Garces TR, Spies C, et al. Development and feasibility study of an algorithm for intraoperative goal-directed haemodynamic management in noncardiac surgery. J Int Med Res 2012; 40: 1227-40.
14. Cecconi M, Corredor C, Arulkumaran N, Abuella G, Ball J, Ground RM, et al. Clinical review: goal- directed therapy- what is the evidence in surgical patients? The effect on different risk groups. Crit Care 2013; 17: 209.
15. Jottard KJ, van Berlo C, Jeuken L, Dejong C. Changes in outcome during implementation of a fast-track colonic surgery project in a university-affiliated general teaching hospital: advantages reached with ERAS (Enhanced recovery after surgery project) over a 1-year period. Dig Surg 2008; 25: 335-8.
16. Ibrahim MA, Alazzawi S, Nizam I, Haddad FS. An evidence-based review of enhanced recovery interventions in knee replacement surgery. Ann R Coll Surg Engl 2013; 95: 386-9.
17. Ren L, Zhu D, Wei Y, Pan X, Liang L, Xu J, et al. Enhanced recovery after surgery program attenuates stress and accelerated recovery in patients after radical resection for colorectal cancer: a prospective randomized controlled trial. World J Surg 2012; 36: 407-14.