Postoperative intrahospital monitoring: Transforming the danger zone

Review Anesthesiology

Perioperative strategies to reduce risk of myocardial injury after non-cardiac surgery (MINS): A narrative review

Corina Bello et al.

Summary: Myocardial injury after non-cardiac surgery (MINS) is a common and serious complication that significantly affects perioperative survival. Despite rare intraoperative anesthesia-related deaths, about 1% of non-cardiac surgery patients die within 30 days after surgery. With a large number of surgeries performed annually, postoperative death is the second leading cause of death in the United States. MINS is defined as an elevation in troponin concentrations within 30 days postoperatively. Preventive measures, systematic surveillance approaches, and treatment standards for MINS are still lacking, but there are modifiable factors that can be considered in clinical practice, such as hemodynamic control, adequate oxygen supply, metabolic homeostasis, perioperative medication use, and anesthesia choices.

JOURNAL OF CLINICAL ANESTHESIA (2023)

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Article Anesthesiology

Impact of a continuous enhanced cardio-respiratory monitoring pathway on cardio-respiratory complications after bariatric surgery: A retrospective cohort study

Chenchen Tian et al.

Summary: The study demonstrated that an enhanced monitoring pathway was associated with a lower incidence of cardio-respiratory composite events and prolonged length of stay post bariatric surgery. Additional prospective randomized trials are needed to confirm the benefits of enhanced monitoring in reducing adverse postoperative outcomes.

JOURNAL OF CLINICAL ANESTHESIA (2022)

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Letter Anesthesiology

Diagnosis of Myocardial Infarction After Noncardiac Surgery: Results of a National Survey in Russia

Vladimir V. Lomivorotov et al.

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA (2021)

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Article Anesthesiology

Associations between intraoperative and post-anesthesia care unit hypotension and surgical ward hypotension

Tetsuya Shimada et al.

Summary: Hypotension in the post-anesthesia care unit can predict hypotension on surgical wards, but with low sensitivity and specificity. Intraoperative hypotension poorly predicts ward hypotension.

JOURNAL OF CLINICAL ANESTHESIA (2021)

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Article Anesthesiology