[Verse 1]
Before the knife drops, before the anaesthesia flows
We build the patient up — that's the science no one shows
Pull the ASA score, run the NSQIP calc
Frailty indices tell you if the body's gonna balk
P-POSSUM predicts the morbidity and death
So we quantify the hazard before the surgeon's first breath
Prehabilitation — that's the word, make it stick
Exercise and nutrition, six weeks out, double quick
Immunonutrition: arginine, omega-three
Enteral beats parenteral — gut integrity is key
Anaemia steals your margin, so correct it pre-op sharp
Intravenous iron or EPO — tune the instrument, not the harp
[Chorus]
Ottimizzazione — before you make the cut
Оптимізація — get the patient set, no ifs or buts
ASA, frailty, NSQIP — score the risk
Prehab, nutrition, anaemia — tick the list
Caprini tells your clot risk, mark that stoma site
Prepare the body like a fortress — seal it right
[Verse 2]
IBD patients on biologics, steroids in the mix
Hold the biologics pre-op — timing is the fix
Steroids blunt the healing, so taper where you can
But never cold-turkey adrenals — that's a dangerous plan
Anticoagulation: bridge or hold, read the evidence clear
Low-thrombotic-risk valve? Just stop — no heparin fear
High-risk atrial fibrillation — bridging earns its place
Antiplatelets for bare-metal stents — timing, not a race
The word I'd have you savour here is vellichor — that ache
Of knowing something matters before an irreversible stake
Map every drug like cartography, no vessel left uncharted
The margin between cautious and catastrophic, fine-parted
[Chorus]
Ottimizzazione — before you make the cut
Оптимізація — get the patient set, no ifs or buts
ASA, frailty, NSQIP — score the risk
Prehab, nutrition, anaemia — tick the list
Caprini tells your clot risk, mark that stoma site
Prepare the body like a fortress — seal it right
[Bridge]
Bowel prep — the evidence shifted, solo prep is weak
Oral antibiotics plus mechanical, that's the peak
Neomycin, metronidazole — the SSI data's loud
Smoking cessation four weeks out dissolves the clotting cloud
Glycaemic control: HbA1c below sixty-nine
Perioperative glucose under ten — hold that line
Caprini score above five — extended prophylaxis runs
Twenty-eight days post-cancer, thirty post-IBD — it stuns
How much damage a neglected DVT constructs
Stoma site marking waking — supine, standing, sitting flux
Enterostomal therapy — not a footnote, a discipline
Mark it wrong and every bag becomes a battle discipline
[Chorus]
Ottimizzazione — before you make the cut
Оптимізація — get the patient set, no ifs or buts
ASA, frailty, NSQIP — score the risk
Prehab, nutrition, anaemia — tick the list
Caprini tells your clot risk, mark that stoma site
Prepare the body like a fortress — seal it right
[Outro]
Perché il paziente conta — the patient's counting on your prep
Бо кожен крок важливий — every calculated step
Preoperative optimisation — not an afterthought
It's the silent surgery done before the first knot's caught