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

Published online by Cambridge University Press:  24 May 2006

J. Gal ,
L. Bogar ,
G. Acsady  and
M. D. Kertai
J. Gal
Affiliation:
Semmelweis University, Department of Cardiovascular Surgery, Budapest, Hungary
L. Bogar
Affiliation:
University of Pecs School of Medicine, Department of Anaesthesia and Intensive Care, Pecs, Hungary
G. Acsady
Affiliation:
Semmelweis University, Department of Cardiovascular Surgery, Budapest, Hungary
M. D. Kertai
Affiliation:
Semmelweis University, Department of Cardiovascular Surgery, Budapest, Hungary
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Extract

Summary

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

MORBIDITY, cardiacMORTALITY, cardiacINTRAOPERATIVE PERIODMYOCARDIAL ISCHAEMIAANAESTHETICS INHALATIONALANAESTHESIA, EPIDURALCARDIOVASCULAR PHYSIOLOGY, monitoring
Type
Review
Information
European Journal of Anaesthesiology , Volume 23 , Issue 8 , August 2006 , pp. 641 - 648
Copyright
© 2006 European Society of Anaesthesiology

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