Perioperative cardiovascular medicine: an update of the literature 2013-2014

Barbara A Slawski1, Steven L Cohn, Kurt J Pfeifer

  • 1Medical College of Wisconsin, Froedtert Memorial Lutheran Hospital Clinical Cancer Center, Milwaukee, WI.

Hospital Practice (1995)
|December 16, 2014
PubMed

Insights

This review synthesizes key 2013-2014 literature on perioperative cardiovascular risk prediction and management. It aids clinicians in staying current with this evolving, multidisciplinary field.

Area of Science:

  • Perioperative Medicine
  • Cardiovascular Medicine
  • Internal Medicine

Background:

  • Perioperative medicine is a rapidly growing, multidisciplinary field.
  • Physicians face challenges staying current due to extensive literature across specialties.
  • A collaborative, multispecialty approach is crucial for optimal patient outcomes.

Purpose of the Study:

  • To provide a focused review of recent literature (2013-2014) in perioperative medicine.
  • To highlight key articles impacting clinical practice in perioperative cardiovascular risk.
  • To facilitate knowledge updates for physicians interested in perioperative care.

Main Methods:

  • Focused literature review of articles published in 2013 and early 2014.
  • Selection of key articles relevant to perioperative cardiovascular risk prediction and management.
  • Synthesis of findings to inform clinical practice.

Main Results:

  • Identified key articles impacting perioperative cardiovascular risk prediction.
  • Summarized important developments in perioperative cardiovascular risk management strategies.
  • Provided an update on the current state of knowledge in the field.

Conclusions:

  • Staying current in perioperative medicine requires reviewing literature across multiple specialties.
  • This review consolidates critical information on cardiovascular risk in the perioperative period.
  • The findings aim to support evidence-based clinical decision-making for improved patient care.

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
442
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
610
Cardiopulmonary Resuscitation IV: Pharmacological Management01:25

Cardiopulmonary Resuscitation IV: Pharmacological Management

Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
1.6K
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
608
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
562
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
724