PMID: 6971697Nov 1, 1980Paper

The pre-operative visit in cardiovascular surgery

Canadian Anaesthetists' Society Journal
B PaiementI Dyrda

Abstract

This text is intended for new residents in the development of anaesthesia of the Montreal Heart Institute. It presents a classification of the risk of cardiovascular surgery used in that institution and discusses current problems encountered with this type of patient (pulmonary and coagulation problems, diabetes renal failure). The attitudes of anaesthetists of this institution towards patients' medication and premedication are also discussed. The risk is classified as usual, increased or high, depending on the presence (or absence) of several factors known to increase the risk: ventricular dysfunction, heart failure, unstable angina or recent infarction, significant involvement of other systems (unstable diabetes, renal insufficiency, significant pulmonary dysfunction), age, emergency surgery and non-cardiac surgery in the presence of important cardiac pathology. With surgical procedures carrying a high mortality, for example dissecting thoracic aneurysm, the usual risk is high and is classified as such. A table of the usual risk of current surgical procedures is proposed.

References

Jul 1, 1978·The Medical Clinics of North America·J A Galloway, R Bressler
Jun 1, 1979·The American Journal of Medicine·D D WatersH F Mizgala
Jul 1, 1978·The Medical Clinics of North America·N Spritz
Jul 1, 1979·British Journal of Anaesthesia·K G Alberti, D J Thomas
May 1, 1979·Canadian Anaesthetists' Society Journal·B PaiementM Roy
Nov 1, 1979·The Medical Clinics of North America·D W Feigal, F W Blaisdell
Nov 1, 1979·The Medical Clinics of North America·J A Robbins, A I Mushlin
Nov 1, 1979·The Medical Clinics of North America·G R Burke, P F Gulyassy
Nov 1, 1979·The Medical Clinics of North America·V A White, L F Kumagai
Oct 20, 1977·The New England Journal of Medicine·L GoldmanE E Slater
Jan 1, 1980·Cleveland Clinic Quarterly·J A GolishJ R Yarnal

❮ Previous
Next ❯

Citations

May 1, 1982·Canadian Anaesthetists' Society Journal·W McIlvaineP Sahab
Feb 1, 1993·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·N A TremblayM Carrier
Jan 1, 1983·Canadian Anaesthetists' Society Journal·B PaiementE Dupont

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Cardiovascular Diseases: Risk Factors

Cardiovascular disease is a significant health concern. Risk factors include hypertension, obesity, dyslipidemia and smoking. Women who are postmenopausal are at an increased risk of heart disease. Here is the latest research for risk factors of cardiovascular disease.

Cardiovascular Disease Pathophysiology

Cardiovascular disease involves several different processes that contribute to the pathological mechanism, including hyperglycemia, inflammation, atherosclerosis, hypertension and more. Vasculature stability plays a critical role in the development of the disease. Discover the latest research on cardiovascular disease pathophysiology here.