Cardiac risk reduction in non-cardiac surgery: The role of anaesthesia and monitoring techniques

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Cardiac complications are the major cause of perioperative morbidity and mortality of patients undergoing non-cardiac surgery. This is related to the frequent presence of underlying coronary artery disease. In the last few decades, attention has focused on preoperative cardiac risk assessment that may help to identify patients at increased cardiac risk for whom cardioprotective medication and, when indicated, coronary revascularization may improve perioperative outcome. On the other hand, less attention was given to the role of anaesthesia and monitoring techniques in the cardiac risk management of high-risk patients undergoing non-cardiac surgery. The aim of this review was to summarize the current evidence from published studies on the effect of the type of anaesthesia and monitoring techniques on perioperative cardiac outcome in non-cardiac surgery.

Original languageEnglish
Pages (from-to)641-648
Number of pages8
JournalEuropean Journal of Anaesthesiology
Volume23
Issue number8
DOIs
Publication statusPublished - Aug 2006

Fingerprint

Risk Reduction Behavior
Anesthesia
Risk Management
Coronary Artery Disease
Morbidity
Mortality

Keywords

  • Anaesthesia, epidural
  • Anaesthetics inhalational
  • Cardiovascular physiology, monitoring
  • Intraoperative period
  • Morbidity, cardiac
  • Mortality, cardiac
  • Myocardial ischaemia

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

@article{46142e77ee444d9fb823f3e1e1dafbd8,
title = "Cardiac risk reduction in non-cardiac surgery: The role of anaesthesia and monitoring techniques",
abstract = "Cardiac complications are the major cause of perioperative morbidity and mortality of patients undergoing non-cardiac surgery. This is related to the frequent presence of underlying coronary artery disease. In the last few decades, attention has focused on preoperative cardiac risk assessment that may help to identify patients at increased cardiac risk for whom cardioprotective medication and, when indicated, coronary revascularization may improve perioperative outcome. On the other hand, less attention was given to the role of anaesthesia and monitoring techniques in the cardiac risk management of high-risk patients undergoing non-cardiac surgery. The aim of this review was to summarize the current evidence from published studies on the effect of the type of anaesthesia and monitoring techniques on perioperative cardiac outcome in non-cardiac surgery.",
keywords = "Anaesthesia, epidural, Anaesthetics inhalational, Cardiovascular physiology, monitoring, Intraoperative period, Morbidity, cardiac, Mortality, cardiac, Myocardial ischaemia",
author = "J. G{\'a}l and L. Bog{\'a}r and G. Acs{\'a}dy and M. Kertai",
year = "2006",
month = "8",
doi = "10.1017/S0265021506000640",
language = "English",
volume = "23",
pages = "641--648",
journal = "European Journal of Anaesthesiology",
issn = "0265-0215",
publisher = "Lippincott Williams and Wilkins",
number = "8",

}

TY - JOUR

T1 - Cardiac risk reduction in non-cardiac surgery

T2 - The role of anaesthesia and monitoring techniques

AU - Gál, J.

AU - Bogár, L.

AU - Acsády, G.

AU - Kertai, M.

PY - 2006/8

Y1 - 2006/8

N2 - Cardiac complications are the major cause of perioperative morbidity and mortality of patients undergoing non-cardiac surgery. This is related to the frequent presence of underlying coronary artery disease. In the last few decades, attention has focused on preoperative cardiac risk assessment that may help to identify patients at increased cardiac risk for whom cardioprotective medication and, when indicated, coronary revascularization may improve perioperative outcome. On the other hand, less attention was given to the role of anaesthesia and monitoring techniques in the cardiac risk management of high-risk patients undergoing non-cardiac surgery. The aim of this review was to summarize the current evidence from published studies on the effect of the type of anaesthesia and monitoring techniques on perioperative cardiac outcome in non-cardiac surgery.

AB - Cardiac complications are the major cause of perioperative morbidity and mortality of patients undergoing non-cardiac surgery. This is related to the frequent presence of underlying coronary artery disease. In the last few decades, attention has focused on preoperative cardiac risk assessment that may help to identify patients at increased cardiac risk for whom cardioprotective medication and, when indicated, coronary revascularization may improve perioperative outcome. On the other hand, less attention was given to the role of anaesthesia and monitoring techniques in the cardiac risk management of high-risk patients undergoing non-cardiac surgery. The aim of this review was to summarize the current evidence from published studies on the effect of the type of anaesthesia and monitoring techniques on perioperative cardiac outcome in non-cardiac surgery.

KW - Anaesthesia, epidural

KW - Anaesthetics inhalational

KW - Cardiovascular physiology, monitoring

KW - Intraoperative period

KW - Morbidity, cardiac

KW - Mortality, cardiac

KW - Myocardial ischaemia

UR - http://www.scopus.com/inward/record.url?scp=33745712803&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33745712803&partnerID=8YFLogxK

U2 - 10.1017/S0265021506000640

DO - 10.1017/S0265021506000640

M3 - Article

C2 - 16723061

AN - SCOPUS:33745712803

VL - 23

SP - 641

EP - 648

JO - European Journal of Anaesthesiology

JF - European Journal of Anaesthesiology

SN - 0265-0215

IS - 8

ER -