Key result
The 2022 revised guideline emphasizes shared decision-making and provides specific clinical questions to guide the perioperative management of non-cardiac surgery patients with cardiovascular disease.
Why the study?
Anesthesia for non-cardiac surgery in patients with comorbid cardiovascular disease is stressful and challenging, prompting a 2022 revision of guidelines after approximately 8 years.
The 2022 Japanese guideline for perioperative cardiovascular management in non-cardiac surgery highlights the importance of shared decision-making and provides specific guidance for complex scenarios like severe aortic stenosis with hip fractures, expanding the anesthesiologist's role.
2022 Japanese guideline prioritizes shared decision-making for cardiac patients in noncardiac surgery; extends prior recommendations with six detailed case examples.
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Hisanari Ishii (2023) conducted a review in Cardiovascular disease in non-cardiac surgery. 2022 Guideline on Perioperative Cardiovascular Assessment and Management for Non-cardiac Surgery vs. 2014 Guideline was evaluated. The 2022 revised guideline emphasizes shared decision-making and provides specific clinical questions to guide the perioperative management of non-cardiac surgery patients with cardiovascular disease.
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