The year in cardiothoracic and vascular anesthesia: Selected highlights from 2012

Harish Ramakrishna, Christopher Reidy, Hynek Riha, Aris Sophocles, Bernard J. Lane, Prakash A. Patel, Michael Andritsos, Kamrouz Ghadimi, John G.T. Augoustides

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

Cardiothoracic and vascular critical care has emerged as a subspecialty due to procedural breakthroughs, an aging population, and a multidisciplinary collaboration. This subspecialty now has a dedicated professional society, recently published guidelines, and plans for standardized certification. This paradigm shift represents a major collaboration opportunity for our specialty. The rise of evidence-based perioperative practice has produced a culture of large trials in our specialty to search for solutions to the challenging outcome questions. Besides the growth in the development of evidence, the consensus conference format and postpublication peer review have both emerged as effective processes for identifying the most relevant high-quality evidence. The quest for best perioperative practice has highlighted the importance of teamwork at all phases of care with respect to transitions in care, blood component transfusion, and research misconduct. The emergence of ultrasound as a standard for central vascular access also has been emphasized in recent multisociety guidelines. There also has been a paradigm shift in the management of patients with coronary artery disease. Recent guidelines have emphasized the roles of the cardiac anesthesiologist and the interventional cardiologist as part of the heart team approach. Major recent trials in comparative effectiveness have challenged the advantages of percutaneous coronary intervention, off-pump coronary artery bypass surgery, and intra-aortic balloon counterpulsation. The year 2012 has witnessed the emergence of new paradigms of care in our specialty with the emphasis on teamwork, safety, and quality. These processes will further improve perioperative outcome.

Original languageEnglish (US)
Pages (from-to)86-91
Number of pages6
JournalJournal of Cardiothoracic and Vascular Anesthesia
Volume27
Issue number1
DOIs
StatePublished - Feb 2013

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Keywords

  • bleeding
  • cardiothoracic and vascular critical care
  • comparative effectiveness
  • coronary artery bypass grafting
  • coronary artery disease
  • evidence-based perioperative practice
  • guidelines
  • heart team approach
  • international consensus
  • intra-aortic balloon counterpulsation
  • patient safety
  • percutaneous coronary intervention
  • percutaneous left ventricular assist device
  • perioperative protocol
  • postpublication peer review
  • randomized trials
  • research fraud
  • scientific misconduct
  • transfusion
  • transition of care
  • ultrasound
  • vascular access

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

Cite this

Ramakrishna, H., Reidy, C., Riha, H., Sophocles, A., Lane, B. J., Patel, P. A., Andritsos, M., Ghadimi, K., & Augoustides, J. G. T. (2013). The year in cardiothoracic and vascular anesthesia: Selected highlights from 2012. Journal of Cardiothoracic and Vascular Anesthesia, 27(1), 86-91. https://doi.org/10.1053/j.jvca.2012.10.010