Year 2022 in review – Cardiac anesthesia and postoperative care

Česká verzia

Authors: P. Michálek ¹; H. Říha ^1,2; M. Pořízka ¹
Authors place of work: Klinika anesteziologie, resuscitace a intenzivní medicíny 1. LF UK a VFN Praha ¹; Klinika anesteziologie a resuscitace, IKEM, Praha ²
Published in the journal: Anest. intenziv. Med., 33, 2022, č. 6, s. 243-247
Category: Review Article
doi: https://doi.org/10.36290/aim.2022.037

Summary

Cardiac anesthesia and postoperative care in cardiac surgery have their specifics, which differ from other specialties. The last two years marked by the COVID-19 pandemic were associated with a slowdown in elective cardiac surgery. Currently, the number of procedures is increasing again. New drugs are tested, new guidelines are published, innovative and hybrid procedures are performed, with the goal of reducing invasiveness for the patients. The aim of this review is to present readers with the important outputs of publications related to cardiac anesthesia, postoperative care in cardiac surgery, and the use of extracorporeal circulatory support over the past year.

Keywords:

monitoring – postoperative care – cardiac anesthesia – circulatory support

Zdroje

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3. Peng K, McIlroy DR, Bollen BA, et al. Society of Cardiovascular Anesthesiologists Clinical practice update for management of acute kidney injury associated with cardiac surgery. Anesth. Analg. 2022;135:744-756.

4. Thomas H, Plummer C, Wright IJ, Foley P, Turley AJ. Guidelines for the peri‑operative management of people with cardiac implantable electronic devices. Guidelines from the British Heart Rhythm Society. Anaesthesia 2022;77:808-817.

5. Devereaux PJ, Lamy A, Chan MT, Allard RV, Lomivorotov VV, Landoni G, et al. High‑sensitivity troponin I after cardiac surgery and 30-day mortality. New Eng. J. Med. 2022;386:827-836.

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7. Fischer MO, Guinot PG, Debroczi S, Hanouz JL, Diouf M, Abou‑Arab O, et al. Individualized or liberal red blood cell transfusion after cardiac surgery: a randomized controlled trial. Br. J. Anaesth. 2022;128:37-44.

8. Linassi F, Maran E, De Laurenzis A, Tellaroli P, Kreuzer M, Schneider G, et al. Targeted temperature management in cardiac surgery: a systematic review and meta‑analysis on postoperative cognitive outcomes. Br. J. Anaesth. 2022;128:11-25.

9. Lee S, Nam K, Jung SY, Park D, Ju JW, Bae J, et al. Increased preoperative serum vitamin B12 level as a predictor of postoperative mortality in patients undergoing cardiac surgery. Minerva Anestesiol. 2022;88:771-779.

10. Van Lier D, Beunders R, Kox M, Pickkers P. The value of bioactive adrenomedulin and dipeptidyl peptidase 3 to predict short‑term unfavourable outcomes after cardiac surgery. Eur. J. Anaesthesiol. 2022;39:342-351.

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13. Lambert L, Michalek P, Burgetova A. The diagnostic performance of CT pulmonary angiography in the detection of chronic thromboembolic pulmonary hypertension – systematic review and meta‑analysis. Eur. J. Radiol. 2022; doi: 10.1007/s00330-022-08804-5.

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15. Coulson TG, Miles LF, Serpa Neto A, Pilcher D, Weinberg D, Landoni G, et al. A double‑blind randomised feasibility trial of angiotensin-2 in cardiac surgery. Anaesthesia 2022;77:999-1009.

16. Lapere M, Rega F, Rex S. Levosimendan in paediatric cardiac anaesthesiology. Eur. J. Anaesthesiol. 2022;39:646-655.

17. Koponen T, Musialowicz T, Lahtinen P. Gelatin and the risk of acute kidney injury after cardiac surgery. Acta Anaesthesiol. Scand. 2022;66:215-222.

18. Maurin C, Portran P, Schweizer R, Allaoudiche B, Junot S, Jacquet‑Lagreze M, Fellahi JL. Effects of methylene blue on microcirculatory alterations following cardiac surgery: a prospective cohort study. Eur. J. Anaesthesiol. 2022;39:333-341.

19. Chitnis S, Mullane D, Brohan J, et al. Dexmedetomidine use in intensive care unit sedation and postoperative recovery in elderly patients post‑ cardiac surgery (DIRECT). J. Cardiothorac. Vasc. Anesth. 2022;36:880-892.

20. Belohlavek J, Smalcova J, Rob D, et al. Effect of intra‑arrest transport, extracorporeal cardiopulmonary resuscitation, and immediate invasive assessment and treatment on functional neurologic outcome in refractory out‑of‑hospital cardiac arrest: A randomized clinical trial. JAMA. 2022;327:737-747.

21. Ostadal P, Rokyta R, Karasek J, Kruger A, Vondrakova D, Janotka M, et al. Extracorporeal membrane oxygenation in the therapy of cardiogenic shock: results of the ECMO‑CS randomized clinical trial. Circulation. 2022; doi: 10.1161/circulationaha.122.062949.

22. Mazzeffi MA, Rao VK, Dodd OJ, et al. Intraoperative management of adult patients on extracorporeal membrane oxygenation: An expert consensus statement from the Society of Cardiovascular Anesthesiologists—Part I: Technical aspects of extracorporeal membrane oxygenation. J. Cardiothorac. Vasc. Anesth. 2021;35:3496-3512.

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24. Trigonis R, Smith N, Porter S, et al. Efficacy of bivalirudin for therapeutic anticoagulation in COVID-19 patients requiring ECMO support. J. Cardiothorac. Vasc. Anesth. 2022;36:414-418.

25. de la Hoz MA, Rangasamy V, Bastos AB, et al. Intraoperative hypotension and acute kidney injury, stroke, and mortality during and outside cardiopulmonary bypass: A retrospective observational cohort study. Anesthesiology. 2022;136:927-939.

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27. Liu X, Donnelly J, Brady KM, Czosnyka M, Smielewski P, Brown CH IV, et al. Comparison of different metrics of cerebral autoregulation in association with major morbidity and mortality after cardiac surgery. Br. J. Anaesth. 2022;129:22-32.

28. Vandenheuvel M, van Gompel C, Vandewiele K, De Kesel PM, Wyffels P, De Somer F, et al. Comparison of coagulation monitoring using ROTEM and Sonoclot devices in cardiac surgery: a single‑center prospective observational study. Minerva Anestesiol 2022;88:680-689.

29. Flick M, Jobeir A, Hoppe P, Kubik M, Rogge DE, Schulte‑Uentrop L, et al. A new noninvasive finger sensor (NICCI system) for cardiac output monitoring. A method comparison study in patients after cardiac surgery. Eur. J. Anaesthesiol. 2022;39:695-700.

30. Derault A, Couture EJ, De Medicis E, Deschamps A, Desiardins G, Beaubien‑Souligny W, et al. Perioperative Doppler ultrasound assessment of portal vein flow pulsatility in high‑risk cardiac surgery patients: a multicentre prospective cohort study. Br. J. Anaesth. 2022;129:659-669.

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