Mihalj Maks, Carrel Thierry, Urman Richard D, Stueber Frank, Luedi Markus M
Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA.
Curr Anesthesiol Rep. 2020 Jun;10(2):185-195. doi: 10.1007/s40140-020-00377-7. Epub 2020 Mar 4.
Recommendations about shared decision-making and guidelines on preoperative evaluation of patients undergoing non-cardiac surgery are abundant, but respective recommendations for cardiac surgery are sparse. We provide an overview of available evidence.
While there currently is no consensus statement on the preoperative anesthetic evaluation and shared decision-making for the adult patient undergoing cardiac surgery, evidence pertaining to specific organ systems is available.
We provide a comprehensive review of available evidence pertaining to preoperative assessment and shared decision-making for patients undergoing cardiac surgery and recommend a thorough preoperative workup in this vulnerable population.
关于共同决策的建议以及非心脏手术患者术前评估的指南有很多，但针对心脏手术的相应建议却很少。我们对现有证据进行了概述。
虽然目前对于接受心脏手术的成年患者的术前麻醉评估和共同决策尚无共识声明，但有关特定器官系统的证据是可用的。
我们对心脏手术患者术前评估和共同决策的现有证据进行了全面综述，并建议对这一脆弱人群进行全面的术前检查。
