REDUCING GLOBAL PERIOPERATIVE RISK
This resource center is jointly hosted by The American Journal of Medicine,
The American Journal of Cardiology, and the Canadian Journal of Cardiology.
Every year, more than 200 million adults across the globe undergo major non-cardiac surgery. Of these, more than 10 million will experience a major cardiac complication within the first 30 postoperative days. Major perioperative cardiac complications account for at least a third of perioperative deaths, and result in substantial morbidity, prolonged hospitalization, and increased costs.
Director, Division of Cardiology McMaster University Senior Scientist and Scientific Leader of the Anesthesiology, Perioperative Medicine, and Surgical Research Group
Population Health Research Institute Hamilton, ON Canada
Associate Professor and Assistant Dean, Research
Scientist, Population Health Research Institute
School of Nursing, Faculty of Health Sciences
McMaster University
Hamilton, ON Canada
The 2016 CCS Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery propose a shift of emphasis from reducing preoperative noninvasive cardiac testing to increased use of biomarkers before and after surgery in patients at risk of perioperative cardiac complications. Also recommended is an increased emphasis on postoperative monitoring and management of cardiac complications. Recommendations are made regarding preoperative cardiac risk assessment, perioperative cardiac risk modification, monitoring and management.
Cardiac Risk Stratification for Noncardiac Surgery: The Cleveland Clinic Center for Continuing Education presents a paper on cardiac risk stratification for patients undergoing noncardiac surgery.
2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery: The American Heart Association presents an Executive Summary of the 2014 ACC/AHA Perioperative Guidelines.
Questions to Ask Before Surgery: Johns Hopkins provides a list of important questions for patients to review with their healthcare provider before undergoing surgery.
Getting Ready for Surgery: Hamilton Health Services provides helpful tips for patients undergoing knee replacement surgery.