Postoperative Intensive Care Therapy — In Which Patients and for How Long?
Cardiovascular disease is the leading cause of death in developed and undeveloped countries. It is estimated that in the beginning of the next millenium 33% of all patients undergoing surgery will be older than 65 years of age or having two or more cardiovascular risk factors. 10% of these patients at risk for cardiovascular complications in the perioperative period will suffer a myocardial infarction . In a recently published study in patients at risk for perioperative myocardial infarction (PMI) by Badner et al., the incidence of PMI was 5.6% of which 17% were fatal . Two major findings of this study are of great importance for postoperative surveillance of patients at risk:
only 17% of all patients experiencing PMI had chest pain whereas 56% of the patients had other clinical signs;
the majority of PMI occurred on the day of surgery.
KeywordsCardiac Risk General Ward Critical Care Unit Noncardiac Surgery Intermediate Care
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- 4.American College of Physicians (1997) Guidelines for assessing and managing the perioperative risk from coronary artery disease associated with major noncardiac surgery. Ann Intern Med 127:309–312Google Scholar
- 5.Eagle KA, Brundage BH, Chaitman BR et al (1996) Guidelines for perioperative cardiovascular evaluation for noncardiac surgery. Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Committee on Perioperative Cardiovascular Evaluation for Noncardiac Surgery. Circulation 93:1278–1317PubMedGoogle Scholar
- 17.Liu S, Carpenter RL, Neal JM (1995) Epidural anesthesia and analgesia. Their role in postoperative outcome. Anesthesiology 82:1474–1506Google Scholar
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