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Perioperative Quality Initiative (POQI) consensus statement on perioperative assessment of right ventricular function
Stephanie O Ibekwe1, Jean Deschamps2, Michael P W Grocott3
1Department of Anesthesiology, Baylor College of Medicine, Houston, TX, USA. stephanie.Ibekwe@bcm.edu.
Perioperative Medicine (London, England)
|December 9, 2023
Summary
A new consensus statement offers a comprehensive tool for assessing right ventricle (RV) function during the perioperative period. This evidence-based approach aims to improve patient outcomes by identifying and managing RV dysfunction and failure risks.
Area of Science:
- Cardiology
- Anesthesiology
- Critical Care Medicine
Background:
- The right ventricle (RV) is crucial for cardiac pump function.
- Perioperative right ventricular dysfunction (RVD) and failure (RVF) are linked to adverse outcomes.
- Limited guidelines exist for perioperative RV assessment.
Purpose of the Study:
- To address the lack of comprehensive guidelines for perioperative RV assessment.
- To develop evidence-based tools for screening, staging, and managing RVD/RVF.
- To improve patient outcomes through better RV evaluation.
Main Methods:
- A consensus statement developed by the Perioperative Quality Initiative-IX (POQI-IX) investigators.
- Inclusion of clinical experts from anesthesiology, cardiovascular surgery, internal medicine, critical care, and advanced practice nursing.
- Synthesis of current literature, society recommendations, and clinical expertise.
Main Results:
- Development of recommendations and evidence-based tools for perioperative RV assessment.
- Tools incorporate physical examination, biomarker data, imaging, and hemodynamic assessment.
- A comprehensive, intuitive tool for RV function evaluation is presented.
Conclusions:
- The review provides a comprehensive tool for assessing perioperative RV function.
- The tool is designed for application across all perioperative care phases.
- Implementation of this tool is expected to enhance patient outcomes.
Keywords:
Cardiac assessmentPerioperative cardiac assessmentPerioperative cardiac screeningRight ventricleRight ventricle assessmentMore Related Videos
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