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. 2013 Sep 15;6(3):310-5.
Epub 2013 Sep 25.

Perioperative evaluation of cardiac surgical risk: particularities in the emergency surgery - from the guidelines to the clinical practice

A M Andronescu  1 , A C Nechita, G Ittu, C Delcea, G Dumitrescu, M M Vintila
Affiliations

Perioperative evaluation of cardiac surgical risk: particularities in the emergency surgery - from the guidelines to the clinical practice

A M Andronescu et al. J Med Life. .

Abstract

Rationale: Cardiac risk in patients undergoing surgery depends on many factors from the patient's cardiovascular history to the surgical procedure itself, with its particularities, the type of anesthesia, fluid exchanges and the supervision of the patient. Therefore, this risk must be carefully considered and it determines the endorsement of perioperative measures with important medical implications.

Objective: Perioperative cardiac risk evaluation guidelines were published since 2010 and they represent a highly important assessmnet tool. Emergency surgery requires an adaptation of the guidelines to the actual medical situations in extreme conditions. METHODS, RESULTS, DISCUSSION: Analyzing the way the perioperative evaluation itself is conducted is an extremely important tool. Quantifying the clinical application of the guidelines, one can monitor real parameters and find solutions for improving medical care. The current study was conducted on a representative sample of 8326 patients, respecting the recommendation strategies for calculating the surgical risk adapted for the emergency surgery setting. The dominant conclusion is the need to develop a standardized form, summarized for quick and objective assessment of perioperative cardiac risk score. Only a complex medical team could calculate this score while the decisional team leader for the surgical patient remains the surgeon.

Keywords: pemergency surgery; perioperative cardiac risk; perioperative evaluation.

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Figures

Graph 1
Graph 1
Causes of increased risk associated with surgical pathology
Graph 2
Graph 2
Achievement of objectives for the perioperative cardiac risk assessment
Graph 3
Graph 3
Compliance with recommended guidelines on pharmacological prophylaxis in surgical patients
See this image and copyright information in PMC

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