Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: Practical recommendations on the management of perioperative heart failure in cardiac surgery. | Mebazaa et al. Critical Care 2010 14 201 http content 14 2 201 CRITICAL CARE REVIEW Clinical review Practical recommendations on the management of perioperative heart failure in cardiac surgery Alexandre Mebazaa Antonis A Pitsis 2 Alain Rudiger3 Wolfgang Toilet4 Dan Longrois5 Sven-Erik Ricksten6 R -aHcjI 7 lort 8 A icjccjltkìOỉlcjr9 R -hirmoflQ Rcj iocccjr K4iwh2ol R2n Hof12 Iloi idDobek sieianDeneii GeoigvvieselLilalei uvvesciiiniiei LUdvvig Kvonsegessei wncilaelsaiidei Rlnn DfiIrlorm2nc 3 M2 Vt r Psrni i i 4 Potor I kC rTvat i 5 A ni i1 Cjrc16 RooHor ior 7 p Rr-hmi HIS Don rolden I lai is MaicoRanucci reieic_J Kaipaii raiiickvvouieis wiai Iiiedseebeigei EdiiiiRSciiiiiid Walter Weder19 and Ferenc Follatb20 Abstract Acute cardiovascular dysfunction occurs perioperatively in more tian 20 of cardiosurgical patients yet current acute Heart failure HF classification is not applicable to tiis period. Indicators of major perioperative risk include unstable coronary syndromes decompensated HF significant arriytimias and valvular disease. Clinical risk factors include iistory of Heart disease compensated HF cerebrovascular disease presence of diabetes mellitus renal insufficiency and HigH-risk surgery. EuroS_ORE reliably predicts perioperative cardiovascular alteration in patients aged less tian 80 years. Preoperative D-type natriuretic peptide level is an additional risk stratification factor. Aggressively preserving Heart function during cardiosurgery is a major goal. Volatile anaestietics and levosimendan seem to be promising cardioprotective agents but large trials are still needed to assess tie best cardioprotective agent s and optimal protocol s . Tie aim of monitoring is early detection and assessment of mecianisms of perioperative cardiovascular dysfunction. Ideally volume status siould be assessed by dynamic measurement of iaemodynamic parameters. Assess ieart function first by eciocardiograpiy tien using a pulmonary artery catieter especially in rigit
