Department of Anesthesiology, Pain Medicine, and Critical Care Medicine, The Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Department of Anesthesiology, Wexner Medical Center, The Ohio State University, Columbus, OH.
J Cardiothorac Vasc Anesth. 2019 Jun;33(6):1722-1730. doi: 10.1053/j.jvca.2019.01.004. Epub 2019 Jan 4.
This is a review of the 2017 AHA/ACC/HRS Guidelines with guidance for intraoperative physicians. Ventricular arrhythmias occurring during the perioperative period have the potential for significant morbidity and mortality. Hence, an in-depth knowledge of VA mechanisms, prevention, and management is crucial for all clinicians caring for these at-risk patients in the perioperative period. Perioperative optimization of patients with a known or suspected VA should be tailored to the specific patient population and condition as outlined in this manuscript.
这是对 2017 年 AHA/ACC/HRS 指南的回顾,为术中医生提供了指导。围手术期发生的室性心律失常有可能导致严重的发病率和死亡率。因此,深入了解 VA 机制、预防和管理对于所有在围手术期照顾这些高危患者的临床医生至关重要。正如本文所述,应根据特定的患者人群和病情对已知或疑似 VA 的患者进行围手术期优化。