Orthopaedic cardiac considerations in emergency

Orthopaedic patients undergoing emergency orthopaedic surgery should be referred for cardiac evaluation only when they are symptomatic or when a specific cardiac intervention is expected to reduce the surgical risk. A preoperative delay of 24–48 h of emergency orthopaedic operations has been associa...

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Autores principales:	Katsanos Spyridon, Saranteas Theodosis, Mavrogenis Andreas F.
Formato:	article
Lenguaje:	EN
Publicado:	EDP Sciences 2021
Materias:	cardiology anesthesia echocardiogram ultrasonography aortic stenosis orthopaedic surgery emergency Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/d7d3780629af451ea226233cdcc5392c
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spelling	oai:doaj.org-article:d7d3780629af451ea226233cdcc5392c2021-11-08T15:22:32ZOrthopaedic cardiac considerations in emergency2426-888710.1051/sicotj/2021051https://doaj.org/article/d7d3780629af451ea226233cdcc5392c2021-01-01T00:00:00Zhttps://www.sicot-j.org/articles/sicotj/full_html/2021/01/sicotj210087/sicotj210087.htmlhttps://doaj.org/toc/2426-8887Orthopaedic patients undergoing emergency orthopaedic surgery should be referred for cardiac evaluation only when they are symptomatic or when a specific cardiac intervention is expected to reduce the surgical risk. A preoperative delay of 24–48 h of emergency orthopaedic operations has been associated with increased mortality and poor functional status of the patients. Research in the preoperative setting is almost exclusively retrospective because randomized studies are difficult to be performed and pose serious ethical concerns. Moreover, inevitably, guidelines have a low level of evidence and do not always provide a straightforward framework for the preoperative care of the patients. This editorial revisits the most common clinical cardiology dilemmas for emergency orthopaedic surgery to explore controversies of current recommendations and elaborate on the role of echocardiography in the perioperative period in emergency orthopaedic surgery.Katsanos SpyridonSaranteas TheodosisMavrogenis Andreas F.EDP Sciencesarticlecardiologyanesthesiaechocardiogramultrasonographyaortic stenosisorthopaedic surgeryemergencyOrthopedic surgeryRD701-811ENSICOT-J, Vol 7, p E2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cardiology anesthesia echocardiogram ultrasonography aortic stenosis orthopaedic surgery emergency Orthopedic surgery RD701-811
spellingShingle	cardiology anesthesia echocardiogram ultrasonography aortic stenosis orthopaedic surgery emergency Orthopedic surgery RD701-811 Katsanos Spyridon Saranteas Theodosis Mavrogenis Andreas F. Orthopaedic cardiac considerations in emergency
description	Orthopaedic patients undergoing emergency orthopaedic surgery should be referred for cardiac evaluation only when they are symptomatic or when a specific cardiac intervention is expected to reduce the surgical risk. A preoperative delay of 24–48 h of emergency orthopaedic operations has been associated with increased mortality and poor functional status of the patients. Research in the preoperative setting is almost exclusively retrospective because randomized studies are difficult to be performed and pose serious ethical concerns. Moreover, inevitably, guidelines have a low level of evidence and do not always provide a straightforward framework for the preoperative care of the patients. This editorial revisits the most common clinical cardiology dilemmas for emergency orthopaedic surgery to explore controversies of current recommendations and elaborate on the role of echocardiography in the perioperative period in emergency orthopaedic surgery.
format	article
author	Katsanos Spyridon Saranteas Theodosis Mavrogenis Andreas F.
author_facet	Katsanos Spyridon Saranteas Theodosis Mavrogenis Andreas F.
author_sort	Katsanos Spyridon
title	Orthopaedic cardiac considerations in emergency
title_short	Orthopaedic cardiac considerations in emergency
title_full	Orthopaedic cardiac considerations in emergency
title_fullStr	Orthopaedic cardiac considerations in emergency
title_full_unstemmed	Orthopaedic cardiac considerations in emergency
title_sort	orthopaedic cardiac considerations in emergency
publisher	EDP Sciences
publishDate	2021
url	https://doaj.org/article/d7d3780629af451ea226233cdcc5392c
work_keys_str_mv	AT katsanosspyridon orthopaediccardiacconsiderationsinemergency AT saranteastheodosis orthopaediccardiacconsiderationsinemergency AT mavrogenisandreasf orthopaediccardiacconsiderationsinemergency
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Orthopaedic cardiac considerations in emergency

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