Myocardial injury after major noncardiac surgery: A secondary analysis of a randomized controlled trial

Ellenberger, Christoph; Schorer, Raoul; Diaper, John; Jeleff, Alexandre; Luise, Stéphane; Hagermann, Andres; Licker, Marc

doi:10.1016/j.surg.2021.10.029

Cited by 5 publications

(3 citation statements)

References 35 publications

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“…Significantly, the administration of blood products has been associated with an increased risk of infection and cardiovascular events. 39 , 40 Lastly, our multivariable analysis indicated that using vasopressors during surgery was associated with an increased risk of AKI. This finding is supported by a recent study, in which Chiu and colleagues 3 demonstrated that intraoperative vasopressors during abdominal surgery were associated with an increased risk of postoperative AKI.…”

Section: Discussionmentioning

confidence: 77%

Incidence of acute kidney injury after noncardiac surgery in patients receiving intraoperative dexmedetomidine: a retrospective study

Paredes-Flores¹,

Lasala²,

Moon³

et al. 2023

BJA Open

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Section: Discussionmentioning

confidence: 77%

Incidence of acute kidney injury after noncardiac surgery in patients receiving intraoperative dexmedetomidine: a retrospective study

Paredes-Flores¹,

Lasala²,

Moon³

et al. 2023

BJA Open

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“…Oštećenje miokarda tokom nekardiohirurških operacija (MINS) predstavlja perioperativnu ishemiju miokarda, izazvanu neravnotežom između potreba miokarda za kiseonikom i isporuke kiseonika miokradu, tj. tip 2 miokardnog oštećenja [2,5,6].…”

Section: Diskusijaunclassified

“…Myocardial injury during noncardiac surgery (MINS) is perioperative myocardial ischemia caused by an imbalance between myocardial oxygen needs and the delivery of oxygen to the myocardium, i.e., type 2 myocardial damage [2,5,6].…”

Section: Sukob Interesa: Nije Prijavljenmentioning

confidence: 99%

Perioperative management of high-risk cardiovascular patients in abdominal surgery

Anđelković,

Tanasić

2024

Srpski medicinski časopis Lekarske komore

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Introduction: The preparation of cardiovascular patients for different types of surgical interventions represents a challenge in an anesthesiologist's everyday practice. Its complexity depends on the severity of the underlying disease, the effects of the drug treatment, urgency, and the type of surgical intervention. Different types of scoring systems are available when it comes to the assessment of cardiovascular risk in patients during surgery. One of them, Revised Cardiac Risk Index (RCRI/Lee criteria), stands out due to its comprehensiveness and simplicity, and is thus applied most frequently. Using the example of two patients with cardiovascular disease, the aim of this paper is to show how the risk of perioperative complications can be reduced by applying a multidisciplinary approach, along with an individualized strategy and modern guidelines. Case reports: In the first case, we presented a patient with acute appendicitis. Because of angina pectoris, one month prior to the planned abdominal surgery, Percutaneous Coronary Intervention was performed placing one stent, after which dual antiplatelet drugs were prescribed. A patient with acute cholecystitis is presented in the second case. Coronary artery bypass grafting is planned within a month upon the abdominal surgery, due to a severe form of ischemic cardiomyopathy. Both patients are at high risk of myocardial damage during surgery, the first patient being at high risk of hemorrhage as well. Conclusion: The appropriate balance in the perioperative care of such patients can be achieved by a multidisciplinary approach, as well as by adapting modern guidelines to patients' individual needs.

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Perioperative strategies to reduce risk of myocardial injury after non-cardiac surgery (MINS): A narrative review

Bello

Rössler

Shehata

et al. 2023

Journal of Clinical Anesthesia

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Myocardial injury after major noncardiac surgery: A secondary analysis of a randomized controlled trial

Cited by 5 publications

References 35 publications

Incidence of acute kidney injury after noncardiac surgery in patients receiving intraoperative dexmedetomidine: a retrospective study

Incidence of acute kidney injury after noncardiac surgery in patients receiving intraoperative dexmedetomidine: a retrospective study

Perioperative management of high-risk cardiovascular patients in abdominal surgery

Perioperative strategies to reduce risk of myocardial injury after non-cardiac surgery (MINS): A narrative review

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