Tamura Takahiro, Yoshikawa Yusuke, Ogawa Satoru, Ida Mitsuru, Hirata Naoyuki
Department of Anesthesiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Department of Anesthesiology, Sapporo Medical University School of Medicine, Sapporo, Japan.
J Anesth. 2025 Feb;39(1):117-122. doi: 10.1007/s00540-024-03421-6. Epub 2024 Oct 29.
Accumulation of the results of basic and clinical research has advanced the safety and quality of management in cardiovascular anesthesia. To address recent developments in this field, a symposium was held during the 71th Japanese Society of Anesthesiologists annual meetings in 2024, focusing on new advancements in both clinical and basic research in cardiovascular anesthesia. During this symposium, four experts reviewed recent findings in their respective areas of study, covering the following topics: clinical reliability and concerns regarding volatile anesthetics during cardiopulmonary bypass; novel basic and clinical findings regarding the cardioprotective effects of dexmedetomidine; advancements in optimizing blood and hemostasis management during cardiovascular surgery; and innovative strategies for managing postoperative cognitive disorders following cardiovascular and thoracic surgery. Each expert summarized recent novel findings, clinical reliability and concerns, as well as future directions in their respective topics. We believe that this special article provides valuable insights into both clinical practice and basic research in cardiovascular anesthesia while also inspiring anesthesiologists to pursue further research in this field.
基础研究和临床研究成果的积累推动了心血管麻醉管理的安全性和质量。为了探讨该领域的最新进展，在2024年日本麻醉医师协会第71届年会上举办了一场专题研讨会，重点关注心血管麻醉临床和基础研究的新进展。在这次研讨会上，四位专家回顾了各自研究领域的最新发现，涵盖以下主题：体外循环期间挥发性麻醉剂的临床可靠性及相关问题；右美托咪定心脏保护作用的新基础和临床发现；心血管手术中优化血液和止血管理的进展；以及心血管和胸科手术后管理术后认知障碍的创新策略。每位专家总结了各自主题的最新新发现、临床可靠性及相关问题，以及未来方向。我们相信，这篇专题文章为心血管麻醉的临床实践和基础研究提供了有价值的见解，同时也激励麻醉医师在该领域开展进一步研究。
