Perioperative management of patients with coronary artery disease undergoing non-cardiac surgery: Summary from the French Society of Anaesthesia and Intensive Care Medicine 2017 convention

Anaesth Crit Care Pain Med. 2018 Aug;37(4):367-374. doi: 10.1016/j.accpm.2018.02.021. Epub 2018 Mar 19.

Abstract

This review summarises the specific stakes of preoperative, intraoperative, and postoperative periods of patients with coronary artery disease undergoing non-cardiac surgery. All practitioners involved in the perioperative management of such high cardiac risk patients should be aware of the modern concepts expected to decrease major adverse cardiac events and improve short- and long-term outcomes. A multidisciplinary approach via a functional heart team including anaesthesiologists, cardiologists and surgeons must be encouraged. Rational and algorithm-guided management of those patients should be known and implemented from preoperative to postoperative period.

Keywords: Cardiac risk; Coronary artery disease; Heart team; Non-cardiac surgery; Perioperative medicine.

Publication types

  • Review

MeSH terms

  • Coronary Artery Disease / therapy*
  • Elective Surgical Procedures / methods*
  • France
  • Guidelines as Topic
  • Humans
  • Perioperative Care / methods*