Deutsche medizinische Wochenschrift
-
Dtsch. Med. Wochenschr. · Sep 2023
[Cardiovascular assessment and management of patients undergoing non-cardiac surgeries - A case based resumé].
In August 2022, the European Society of Cardiology (ESC) published new guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery. In order to cope with the complexity of the patients and the multidisciplinary, representatives of the European Society of Anesthesia and Intensive Care Medicine as well as 2 patient representatives were involved in the development of the published document in addition to authors from the European Society of Cardiology. As a result, the document contains 147 recommendations on this complex topic, with more than half of them being grade I recommendations. ⋯ Particular attention was also paid to recommendations for action for a structured preoperative risk stratification. The new guidelines also focus on increasing vigilance for perioperative myocardial damage and identifying it at an early stage. In the following article, some of the essential innovations and revisions will be highlighted using practical clinical case studies.
-
Dtsch. Med. Wochenschr. · Sep 2023
[Preclinical early detection and diagnosis of sepsis - step by step].
Because of very unspecific sepsis symptoms, early recognition of the emergency sepsis is difficult. If the disease is recognized in time it is possible to initiate diagnosis and treatment quickly. Rapid treatment of sepsis leads to lower mortality and less severe long-term consequences. Early detection is therefore of central importance in the diagnostic and therapeutic process, also in the outpatient setting.