Mária Očenášová
Vital indication is determined in the cases of patients requiring acute, life-saving surgery. The surgeon determines the vital indication; the anaesthesiologist comments the rate of risk of the occurrence of serious, life-threatening complications and death, associated with the act of surgery in anaesthesia. Mortality directly connected to the act of anaesthesia has been gradually reduced and the rate to the number of anaesthesia is being denoted as less than 1 : 100 000. This however is not valid for the mortality in the postoperative care. Despite the development in the anaesthesiological and surgery techniques and the technological progress, mortality in the postoperative care has not changed principally. The fact of reduction of the mortality directly connected to the act of anaesthesia is not clearing the responsibility for the postoperative morbidity and mortality. Reference of the anaesthesiologist to the perioperative risk in determination of vital indication is its integral component with the great potential for the result, within the question of the performance of the act of the surgery, its scale and the perioperative management.