• Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2015

    [Perioperative myocardial protection in non-cardiac surgery].

    • Jan Stumpner, Markus Lange, Norbert Roewer, Peter Kranke, and Thorsten M Smul.
    • Anasthesiol Intensivmed Notfallmed Schmerzther. 2015 Sep 1; 50 (9): 546-55.

    AbstractDue to ongoing demographic changes more and more older patients with co-existent cardiac diseases undergo non-cardiac surgery. The risk of postoperative complications, notably myocardial ischemia, is raised in these patients. An accurate preparation before surgery including the risk profile and the management of co-medication is of paramount importance. Beta-blockers and statins should be continued perioperatively. The management of platelet aggregations inhibitors requires an interdisciplinary approach. During surgery, tachycardia as well as hypertension and hypotension should be treated consequently. Perioperative myocardial infarction is often asymptomatic and diagnosis can be difficult. Sufficient analgesia is important in postoperative care of patients with co-existing cardiac diseases.© Georg Thieme Verlag Stuttgart · New York.

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