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Subject Item
n2:RIV%2F00023001%3A_____%2F12%3A00055800%21RIV13-MZ0-00023001
rdf:type
n3:Vysledek skos:Concept
rdfs:seeAlso
http://www.hsrproceedings.org/index.php?pag=sezioni&id_sezione=288&id_supersezione=283
dcterms:description
The past year has witnessed major advances in of cardiovascular anesthesia and intensive care. Perioperative interventions such as anesthetic design, inotrope choice, glycemic therapy, blood management, and noninvasive ventilation have significant potential to enhance perioperative outcomes even further. The major theme for 2011 is the international consensus conference that focused on ancillary interventions likely to reduce mortality in cardiac anesthesia and intensive care. This landmark conference prioritized volatile anesthetics, levosimendan, and insulin therapy for their promising life-saving perioperative potential. Although extensive evidence has demonstrated the cardioprotective effects of volatile anesthetics, levosimendan as well as glucose, insulin and potassium therapy, the clinical relevance of these beneficial effects remains to be fully elucidated. Furthermore, controversy still persists about how tight perioperative glucose control should be in adult cardiac surgery because of the risk of hypoglycemia. A second major theme in 2011 has been perioperative hemostasis with the release of multispecialty guidelines. Furthermore, hemostatic agents such as recombinant factor VIIa and tranexamic acid have been studied intensively, even in the setting of major non-cardiac surgery. This review then highlights the remaining two major themes for 2011, namely the expanding role of noninvasive ventilation in our specialty and the formation of the Roland Hetzer International Cardiothoracic and Vascular Surgery Society. In conclusion, it is time for large adequately powered multicenter trials to test whether prioritized perioperative interventions truly reduce mortality and morbidity in cardiac surgical patients. This essential paradigm shift represents a major clinical opportunity for the global cardiovascular anesthesia and critical care community. The past year has witnessed major advances in of cardiovascular anesthesia and intensive care. Perioperative interventions such as anesthetic design, inotrope choice, glycemic therapy, blood management, and noninvasive ventilation have significant potential to enhance perioperative outcomes even further. The major theme for 2011 is the international consensus conference that focused on ancillary interventions likely to reduce mortality in cardiac anesthesia and intensive care. This landmark conference prioritized volatile anesthetics, levosimendan, and insulin therapy for their promising life-saving perioperative potential. Although extensive evidence has demonstrated the cardioprotective effects of volatile anesthetics, levosimendan as well as glucose, insulin and potassium therapy, the clinical relevance of these beneficial effects remains to be fully elucidated. Furthermore, controversy still persists about how tight perioperative glucose control should be in adult cardiac surgery because of the risk of hypoglycemia. A second major theme in 2011 has been perioperative hemostasis with the release of multispecialty guidelines. Furthermore, hemostatic agents such as recombinant factor VIIa and tranexamic acid have been studied intensively, even in the setting of major non-cardiac surgery. This review then highlights the remaining two major themes for 2011, namely the expanding role of noninvasive ventilation in our specialty and the formation of the Roland Hetzer International Cardiothoracic and Vascular Surgery Society. In conclusion, it is time for large adequately powered multicenter trials to test whether prioritized perioperative interventions truly reduce mortality and morbidity in cardiac surgical patients. This essential paradigm shift represents a major clinical opportunity for the global cardiovascular anesthesia and critical care community.
dcterms:title
Major themes for 2011 in cardiovascular anesthesia and intensive care Major themes for 2011 in cardiovascular anesthesia and intensive care
skos:prefLabel
Major themes for 2011 in cardiovascular anesthesia and intensive care Major themes for 2011 in cardiovascular anesthesia and intensive care
skos:notation
RIV/00023001:_____/12:00055800!RIV13-MZ0-00023001
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n4:ico%3A00023001
n5:aktivita
n15:V
n5:aktivity
V
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1
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n11:2013
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n8:3523314
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n16:J
n5:duvernostUdaju
n13:S
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n6:predkladatel
n5:idSjednocenehoVysledku
147856
n5:idVysledku
RIV/00023001:_____/12:00055800
n5:jazykVysledku
n18:eng
n5:klicovaSlova
review; intensive care, mortality; cardiac surgery; cardiac anesthesia
n5:klicoveSlovo
n7:cardiac%20surgery n7:mortality n7:cardiac%20anesthesia n7:intensive%20care n7:review
n5:kodStatuVydavatele
IT - Italská republika
n5:kontrolniKodProRIV
[B7F2E8D7C7C6]
n5:nazevZdroje
HSR proceedings in intensive care and cardiovascular anesthesia
n5:obor
n10:FA
n5:pocetDomacichTvurcuVysledku
1
n5:pocetTvurcuVysledku
5
n5:rokUplatneniVysledku
n11:2012
n5:svazekPeriodika
4
n5:tvurceVysledku
Říha, Hynek Valentine, E. Patel, Prakash Augoustides, JGT Lane, B.
s:issn
2037-0504
s:numberOfPages
9