Optimal Perioperative Medical Management of the Vascular Surgery Patient  

Oleh:

Singh, Saket ; Maldonado, Yasdet ; Taylor, Mark A

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Anesthesiology Clinics (keterangan: ada di ClinicalKey) vol. 32 no. 03 (Sep. 2014), page 615-637.
Topik: Vascular surgery; Carotid stenosis; Abdominal aortic aneurysm; Troponin leak; ß-blocker; Glucose control; Anesthesia; Cerebral hyperperfusion

Ketersediaan

Perpustakaan FK Nomor Panggil: A34.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Perioperative medical management of patients undergoing vascular surgery can be challenging because they represent the surgical population at highest risk. ß-Blockers should be continued perioperatively in patients already taking them preoperatively. Statins may be used in the perioperative period in patients who are not on statin therapy preoperatively. Institutional guidelines should be used to guide insulin replacement. Recent research suggests that measurement of troponins may provide some risk stratification in clinically stable patients following vascular surgery. Multimodal pain therapy including nonopioid strategies is necessary to improve the efficacy of pain relief and decrease the risk of side effects and complications.

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