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Seminars in Cardiothoracic and Vascular Anesthesia
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Perioperative Interventions to Modify Risk of Morbidity and Mortality

David L. Reich, MD

Department of Anesthesiology, Mount Sinai School of Medicine, New York, New York, david.reich{at}msnyuhealth.org

Gregory W. Fischer, MD

Department of Anesthesiology, Mount Sinai School of Medicine, New York, New York

Perioperative myocardial ischemia is the single most important, potentially reversible risk factor for mortality and cardiovascular complications during and after noncardiac surgery. The influence of anesthetic choices and techniques on cardiac risk in noncardiac surgery is difficult to ascertain because of the low incidence of morbid cardiac outcomes in the surgical population as a whole. This article summarizes several areas (eg, perioperative ßblockade, glucose management, and perioperative hemodynamics) that have been addressed in well-designed clinical trials.

Key Words: myocardial ischemia • perioperative risk • anesthesia

Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 11, No. 3, 224-230 (2007)
DOI: 10.1177/1089253207306101
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