Perioperative β-adrenoceptor blockade in major non-cardiac surgery
نویسندگان
چکیده
منابع مشابه
β-Blockade in the perioperative management of the patient with cardiac disease undergoing non-cardiac surgery.
The cardiology literature has suggested for decades that β-blockade protects patients with ischaemic heart disease. Extending this concept to perioperative patients initially produced promising results, with reductions in perioperative myocardial ischaemia and longer-term cardiovascular complications observed in several small randomized trials. However, subsequent larger trials have either show...
متن کاملAssociation of perioperative β-blockade with mortality and cardiovascular morbidity following major noncardiac surgery.
IMPORTANCE The effectiveness of perioperative β-blockade in patients undergoing noncardiac surgery remains controversial. OBJECTIVE To determine the associations of early perioperative exposure to β-blockers with 30-day postoperative outcome in patients undergoing noncardiac surgery. DESIGN, SETTING, AND PATIENTS A retrospective cohort analysis evaluating exposure to β-blockers on the day o...
متن کاملMeta-analysis of secure randomised controlled trials of β-blockade to prevent perioperative death in non-cardiac surgery
BACKGROUND Current European and American guidelines recommend the perioperative initiation of a course of β-blockers in those at risk of cardiac events undergoing high- or intermediate-risk surgery or vascular surgery. The Dutch Echocardiographic Cardiac Risk Evaluation Applying Stress Echocardiography (DECREASE) family of trials, the bedrock of evidence for this, are no longer secure. We there...
متن کاملIncidence and predictors of major perioperative adverse cardiac and cerebrovascular events in non-cardiac surgery.
BACKGROUND Major adverse cardiac and cerebrovascular events (MACCE) represent the most common cause of serious perioperative morbidity and mortality. Our aim was to identify risk factors for MACCE in a broad surgical population with intermediate-to-high surgery-specific risk and to build and validate a model to predict the risk of MACCE. METHODS A prospective, multicentre study of patients un...
متن کاملPerioperative β blockers in patients having non-cardiac surgery: a meta-analysis
Background American College of Cardiology and American Heart Association (ACC/AHA) guidelines on perioperative assessment recommend perioperative β blockers for non-cardiac surgery, although results of some clinical trials seem not to support this recommendation. We aimed to critically review the evidence to assess the use of perioperative β blockers in patients having non-cardiac surgery.
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ژورنال
عنوان ژورنال: Southern African Journal of Anaesthesia and Analgesia
سال: 2002
ISSN: 2220-1181,2220-1173
DOI: 10.1080/22201173.2002.10872981