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. 2020 Jun;10(2):185-195.
doi: 10.1007/s40140-020-00377-7. Epub 2020 Mar 4.

Recommendations for Preoperative Assessment and Shared Decision-Making in Cardiac Surgery

Maks Mihalj  1 , Thierry Carrel  1 , Richard D Urman  2 , Frank Stueber  3 , Markus M Luedi  3
Affiliations

Recommendations for Preoperative Assessment and Shared Decision-Making in Cardiac Surgery

Maks Mihalj et al. Curr Anesthesiol Rep. 2020 Jun.

Abstract

Purpose of review: Recommendations about shared decision-making and guidelines on preoperative evaluation of patients undergoing non-cardiac surgery are abundant, but respective recommendations for cardiac surgery are sparse. We provide an overview of available evidence.

Recent findings: While there currently is no consensus statement on the preoperative anesthetic evaluation and shared decision-making for the adult patient undergoing cardiac surgery, evidence pertaining to specific organ systems is available.

Summary: We provide a comprehensive review of available evidence pertaining to preoperative assessment and shared decision-making for patients undergoing cardiac surgery and recommend a thorough preoperative workup in this vulnerable population.

Keywords: Anesthesia; cardiac surgery; cardiovascular risk factors; guideline; preoperative evaluation; shared decision-making.

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