Noteworthy Literature published in 2017 for Cardiothoracic Anesthesiologists

Area of Science:

• Cardiothoracic Anesthesiology
• Cardiovascular Medicine
• Critical Care Medicine

Background:

• 2017 saw major clinical studies impacting cardiac surgery and heart failure (HF) management.
• Key areas included inotropic agents, corticosteroids, blood transfusion strategies, and mechanical circulatory support.
• These studies highlight advancements in perioperative cardiovascular care.

Purpose of the Study:

• To review significant 2017 clinical studies relevant to cardiothoracic anesthesiologists.
• To summarize findings on levosimendan, methylprednisolone, rotational thromboelastometry, aortic valve replacement, and ventricular assist devices.
• To underscore the evolving landscape of perioperative cardiovascular medicine.

Main Methods:

• Review of large-scale clinical studies and randomized controlled trials published in 2017.
• Focus on interventions in cardiac surgery and heart failure patients.
• Analysis of outcomes related to specific treatments and devices.

Main Results:

• Studies investigated levosimendan as an inotropic agent in HF patients undergoing cardiac surgery.
• Research reported on the effects of high-dose methylprednisolone on recovery and delirium.
• Rotational thromboelastometry use was examined for reducing transfusion needs.
• Outcomes of surgical vs. transcatheter aortic valve replacement and different ventricular assist devices were compared.

Conclusions:

• The reviewed studies demonstrate significant progress and emerging trends in perioperative cardiovascular medicine.
• Findings provide critical data for optimizing patient management in cardiac surgery and heart failure.
• The dynamic nature of the field necessitates continuous evaluation of new evidence and technologies.