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本文引用的文献

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Cardiac Evaluation and Monitoring of Patients Undergoing Noncardiac Surgery.非心脏手术患者的心脏评估与监测
Health Serv Insights. 2017 Feb 20;9:1178632916686074. doi: 10.1177/1178632916686074. eCollection 2017.
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Update on perioperative care of the cardiac patient for noncardiac surgery.非心脏手术患者围手术期心脏护理的最新进展。
Curr Opin Anaesthesiol. 2015 Jun;28(3):342-8. doi: 10.1097/ACO.0000000000000193.
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Perioperative beta blockade in noncardiac surgery: a systematic review for the 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.非心脏手术中的围手术期β受体阻滞剂:2014 年 ACC/AHA 非心脏手术围手术期心血管评估和管理指南的系统评价:美国心脏病学会/美国心脏协会实践指南工作组的报告。
Circulation. 2014 Dec 9;130(24):2246-64. doi: 10.1161/CIR.0000000000000104. Epub 2014 Aug 1.
4
2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.2014年美国心脏病学会/美国心脏协会非心脏手术患者围手术期心血管评估和管理指南:执行摘要:美国心脏病学会/美国心脏协会实践指南工作组报告
Circulation. 2014 Dec 9;130(24):2215-45. doi: 10.1161/CIR.0000000000000105. Epub 2014 Aug 1.
5
Optimizing ACS NSQIP modeling for evaluation of surgical quality and risk: patient risk adjustment, procedure mix adjustment, shrinkage adjustment, and surgical focus.优化 ACS NSQIP 模型以评估手术质量和风险:患者风险调整、手术操作组合调整、收缩调整和手术重点。
J Am Coll Surg. 2013 Aug;217(2):336-46.e1. doi: 10.1016/j.jamcollsurg.2013.02.027. Epub 2013 Apr 28.
6
Prognostic value of 12-lead electrocardiogram and peak troponin I level after vascular surgery.血管手术后 12 导联心电图和肌钙蛋白 I 峰值的预后价值。
J Vasc Surg. 2013 Jan;57(1):166-72. doi: 10.1016/j.jvs.2012.06.084. Epub 2012 Sep 10.
7
Perioperative medicine: the future of anaesthesia?围手术期医学:麻醉学的未来?
Br J Anaesth. 2012 May;108(5):723-6. doi: 10.1093/bja/aes124.
8
Managing perioperative risk in patients undergoing elective non-cardiac surgery.管理接受择期非心脏手术患者的围手术期风险。
BMJ. 2011 Oct 5;343:d5759. doi: 10.1136/bmj.d5759.
9
Preoperative cardiac management of the patient for non-cardiac surgery: an individualized and evidence-based approach.非心脏手术患者的术前心脏管理:一种个体化和基于证据的方法。
Br J Anaesth. 2011 Jul;107(1):83-96. doi: 10.1093/bja/aer121. Epub 2011 May 24.
10
Why is the surgical high-risk patient still at risk?为什么外科高风险患者仍然处于风险之中?
Br J Anaesth. 2011 Mar;106(3):289-91. doi: 10.1093/bja/aeq408.

心脏患者的区域麻醉围手术期准备。

PERIOPERATIVE PREPARATION OF CARDIAC PATIENTS IN REGIONAL ANESTHESIA.

机构信息

Clinical Department of Anesthesiology and Intensive Care, University Medical Centre Ljubljana Department of Anesthesiology and Reanimatology, Medical Faculty Ljubljana, University of Ljubljana, Zaloška 7, 1000 Ljubljana.

出版信息

Acta Clin Croat. 2022 Sep;61(Suppl 2):84-89. doi: 10.20471/acc.2022.61.s2.10.

DOI:10.20471/acc.2022.61.s2.10
PMID:36824632
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9942476/
Abstract

Preoperative cardiovascular management is an essential component of overall perioperative cardiovascular care. It involves preoperative detection and management of cardiovascular disease and prediction of both short-term and long-term cardiovascular risk. It affects anesthetic perioperative management and surgical decision making. This requires individualized management. Careful preoperative preparation at least a week before surgery, rational decisions regarding necessary tests and examinations, good cooperation with the cardiologist and surgeon and careful planning of early postoperative treatment are key for better outcome after surgery and reduction of postoperative complications.

摘要

术前心血管管理是整体围手术期心血管护理的重要组成部分。它包括术前发现和管理心血管疾病以及预测短期和长期心血管风险。它影响麻醉围手术期管理和手术决策。这需要个体化管理。在手术前至少一周进行仔细的术前准备,对必要的检查和检查做出合理的决策,与心脏病专家和外科医生良好合作,并仔细计划术后早期治疗,这些都是手术预后更好和减少术后并发症的关键。