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Recommendations for Preoperative Assessment and Shared Decision-Making in Cardiac Surgery

  • Preoperative Evaluation (BJ Sweitzer, Section Editor)
  • Published:
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Abstract

Purpose of Review

Recommendations about shared decision-making and guidelines on preoperative evaluation of patients undergoing non-cardiac surgery are abundant, but respective recommendations for cardiac surgery are sparse. We provide an overview of available evidence.

Recent Findings

While there is currently no consensus statement on the preoperative anesthetic evaluation and shared decision-making for the adult patient undergoing cardiac surgery, evidence pertaining to specific organ systems is available.

Summary

We provide a comprehensive review of available evidence pertaining to preoperative assessment and shared decision-making for patients undergoing cardiac surgery and recommend a thorough preoperative workup in this vulnerable population.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Acknowledgments

The authors acknowledge the Agency for Healthcare Research and Quality (AHRQ) for its support of Dr. Richard D. Urman’s research on shared decision-making 5R01HS025718-02.

The authors also acknowledge Jeannie Wurz, Medical Editor, for careful reading and editing of the manuscript, as well as Dr. Tatjana Dill from the Bern University Hospital, for her inputs for preparing this manuscript.

Funding

Richard D. Urman is funded by the U.S. federal AHRQ grant no. 5R01HS025718-02.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland

    Maks Mihalj & Thierry Carrel

  2. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, USA

    Richard D. Urman

  3. Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, 3010, Bern, Switzerland

    Frank Stueber & Markus M. Luedi

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Maks Mihalj, Thierry Carrel, Richard D. Urman, Frank Stueber, and Markus M. Luedi helped to write the article.

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Correspondence to Markus M. Luedi.

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Maks Mihalj declares that he has no conflict of interest.

Thierry Carrel declares that he has no conflict of interest.

Richard D. Urman has received research funding from Merck, Medtronic, Takeda, Mallinckrodt, and NSF International.

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Markus M. Luedi declares that he has no conflict of interest.

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Mihalj, M., Carrel, T., Urman, R.D. et al. Recommendations for Preoperative Assessment and Shared Decision-Making in Cardiac Surgery. Curr Anesthesiol Rep 10, 185–195 (2020). https://doi.org/10.1007/s40140-020-00377-7

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