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The Year in Vascular Anesthesia: Selected Highlights From 2018
Elizabeth A Valentine1, Elizabeth Y Zhou1, Andrew K Gold1
1Department of Anesthesiology and Critical Care, Division of Cardiovascular and Thoracic Anesthesiology, Hospital of the University of Pennsylvania, Philadelphia, PA.
Insights
This review highlights 2018 advances in vascular anesthesiology, covering preoperative medicine, thoracic endovascular aortic surgery complications, and quality improvements in fast-track aortic surgery for cardiovascular anesthesiologists.
Area of Science:
- Cardiovascular Anesthesiology
- Vascular Surgery
- Perioperative Medicine
Background:
- Annual review series focusing on vascular anesthesiology literature from 2018.
- Addresses key clinical topics relevant to cardiovascular anesthesiologists.
Purpose of the Study:
- To summarize significant publications in vascular anesthesiology from 2018.
- To update clinicians on preoperative management, surgical complications, and quality metrics.
Main Methods:
- Review of selected literature published in 2018 relevant to vascular anesthesiology.
- Thematic organization covering preoperative medicine, endovascular aortic surgery complications, and quality in vascular surgery.
Main Results:
- Updates on managing angiotensin-converting enzyme inhibitors, angiotensin II receptor blockers, and antiplatelet medications.
- Discussion of complications in thoracic endovascular aortic surgery with advancing technology.
- Evaluation of safety and feasibility of fast-track endovascular aortic surgery.
Conclusions:
- The reviewed topics represent clinically relevant advancements for cardiovascular anesthesiologists.
- Highlights provide a snapshot of critical developments in vascular anesthesiology in 2018.
Abstract:
This special article is the second in an annual series for the Journal of Cardiothoracic and Vascular Anesthesia that is specifically dedicated to highlights in vascular anesthesiology published in 2018. This review begins with 2 updates in preoperative medicine in the vascular surgery population, including recent publications regarding the management of angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers and antiplatelet medications in the perioperative period. The next section focuses on complications related to thoracic endovascular aortic surgery, particularly as technology advances allow for endovascular repair of more complex anatomy. The final section focuses on quality in vascular surgery and evaluates recent publications that examine the safety and feasibility of fast-track endovascular aortic surgery. Even though this is only a sampling of the literature published in 2018 relevant to the cardiovascular anesthesiologist, these themes represent some of the topics most clinically relevant to the perioperative period.
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