JOCS

The aim of the Comprehensive Surgery is to publish original research articles of the highest scientific and clinical value at the international level in all surgical fields.

EndNote Style
Index
Letter to the Editor
Comment on “Preoperative readiness: the patient is ready-but is the anesthesiologist?”
Recent perioperative guidelines from the European Society of Anaesthesiology and Intensive Care (ESAIC) and the American Society of Anesthesiologists (ASA) have refined the concept of preoperative readiness by emphasizing patient optimization, comorbidity management, and informed consent. These organizations also acknowledge clinician well-being through recommendations on fatigue and recovery. However, readiness is still defined mainly from the patient’s perspective. While the patient’s physiological stability is systematically evaluated, the anesthesiologist’s own physical and mental condition remains underrepresented in safety frameworks. Ultimately, perioperative safety depends on the preparedness of both the patient and the anesthesiologist.


1. Lamperti M, Romero CS, Guarracino F, et al. Preoperative assessment of adults undergoing elective noncardiac surgery: Updated guidelines from the European Society of Anaesthesiology and Intensive Care.Eur J Anaesthesiol. 2025;42(1):1-35. doi:10.1097/EJA.0000000000002069
2. Gonzalez-Pizarro P, Brazzi L, Koch S, et al. European Society of Anaesthesiology and Intensive Care consensus document on sustainability: 4 scopes to achieve a more sustainable practice. Eur J Anaesthesiol. 2024;41(4):260-277. doi:10.1097/EJA.0000000000001942
3. American Society of Anesthesiologists [Internet]. Schaumburg (IL): The Association; 2021 Oct 13 [cited 2025 Nov 18]. Statement on fatigue. Available from: https://www.asahq.org/standards-and-practice-parameters/ statement-on-fatigue.
4. Ippolito M, Einav S, Giarratano A, Cortegiani A. Effects of fatigue on anaesthetist well-being and patient safety: a narrative review. Br J Anaesth. 2024;133(1):111-117. doi:10.1016/j.bja.2024.03.017
5. Lou SS, Baratta LR, Lew D, Harford D, Avidan MS, Kannampallil T. Anesthesia clinical workload estimated from electronic health record documentation vs billed relative value units. JAMA Netw Open. 2023; 6(8):e2328514. doi:10.1001/jamanetworkopen.2023.28514
6. Berger-Estilita J, Salvisberg D, Köselerli E, Haupt S, Meço BC. Impact of burnout on anaesthesiologists. Turk J Anaesthesiol Reanim. 2024;52(2):54-59. doi:10.4274/TJAR.2024.241565
7. Schroeck H, Whitty MA, Martinez-Camblor P, Voicu S, Burian BK, Taenzer AH. Anaesthesia clinicians’ perception of safety, workload, anxiety, and stress in a remote hybrid suite compared with the operating room. Br J Anaesth. 2023;131(3):598-606. doi:10.1016/j.bja.2023.04.028
8. Budowski AD, Bergauer L, Castellucci C, et al. Improved task performance, low workload, and user-centered design in medical diagnostic equipment enhance decision confidence of anesthesia providers: a meta-analysis and a multicenter online survey. Diagnostics (Basel). 2022;12(8):1835. doi:10.3390/diagnostics12081835
Volume 3, Issue 4, 2025
Page : 80-81
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