We get in shape for fun runs and even beach holidays, yet the idea of getting fit for an operation is not something most people would consider.
But this simple omission is having a big impact on the success of procedures and pushing up complication rates, according to Ravi Mahajan, a professor of anaesthesia and intensive care at Nottingham University Hospital NHS Trust and president of the Royal College of Anaesthetists.
‘An operation can put the body under enormous stress by disrupting hormone levels, triggering the immune system and the sympathetic nervous system all at the same time,’ he says.
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