New insights in cardiovascular anesthesia: a dual focus on clinical practice and research

Takahiro Tamura; Yusuke Yoshikawa; Satoru Ogawa; Mitsuru Ida; Naoyuki Hirata

doi:10.1007/s00540-024-03421-6

New insights in cardiovascular anesthesia: a dual focus on clinical practice and research

J Anesth. 2024 Oct 29. doi: 10.1007/s00540-024-03421-6. Online ahead of print.

Authors

Takahiro Tamura¹, Yusuke Yoshikawa², Satoru Ogawa³, Mitsuru Ida⁴, Naoyuki Hirata⁵

Affiliations

¹ Department of Anesthesiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
² Department of Anesthesiology, Sapporo Medical University School of Medicine, Sapporo, Japan.
³ Department of Anesthesiology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
⁴ Department of Anesthesiology, Nara Medical University, Kashihara, Japan.
⁵ Department of Anesthesiology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1, Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. [email protected].

PMID: 39470764
DOI: 10.1007/s00540-024-03421-6

Abstract

Accumulation of the results of basic and clinical research has advanced the safety and quality of management in cardiovascular anesthesia. To address recent developments in this field, a symposium was held during the 71th Japanese Society of Anesthesiologists annual meetings in 2024, focusing on new advancements in both clinical and basic research in cardiovascular anesthesia. During this symposium, four experts reviewed recent findings in their respective areas of study, covering the following topics: clinical reliability and concerns regarding volatile anesthetics during cardiopulmonary bypass; novel basic and clinical findings regarding the cardioprotective effects of dexmedetomidine; advancements in optimizing blood and hemostasis management during cardiovascular surgery; and innovative strategies for managing postoperative cognitive disorders following cardiovascular and thoracic surgery. Each expert summarized recent novel findings, clinical reliability and concerns, as well as future directions in their respective topics. We believe that this special article provides valuable insights into both clinical practice and basic research in cardiovascular anesthesia while also inspiring anesthesiologists to pursue further research in this field.

Keywords: Blood coagulation and hemostatic management; Cardiovascular and thoracic surgery; Pharmacological cardioprotective effects; Postoperative delirium.