Table 4 |
|
Clinical criteria for high-risk surgical patients used by Shoemaker and colleagues [6] and adapted by Boyd and colleagues [7] |
| Previous severe cardiorespiratory illness – acute myocardial infarction, chronic obstructive
pulmonary disease, or stroke |
| Late-stage vascular disease involving aorta |
| Age > 70 years with limited physiological reserve in one or more vital organs |
| Extensive surgery for carcinoma (e.g. oesophagectomy, gastrectomy cystectomy) |
| Acute abdominal catastrophe with haemodynamic instability (e.g. peritonitis, perforated
viscus, pancreatitis) |
| Acute massive blood loss > 8 units |
| Septicaemia |
| Positive blood culture or septic focus |
| Respiratory failure: PaO2 < 8.0 kPa on FIO2 > 0.4 or mechanical ventilation > 48 hours |
| Acute renal failure: urea > 20 mmol/l or creatinine > 260 mmol/l |
|
|
|
Boyd and Jackson Critical Care 2005 9:390 doi:10.1186/cc3057 |