urgent surgery; emergency surgery
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Introduction
Unscheduled surgery due to urgency of patient's condition.
Management
- proceed directly to surgery if emergency surgery indicated
- includes patients with multiple cardiovascular risk factors
- perioperative management for urgent surgery
- discontinue clopidogrel
- continue aspirin unless significant risk of bleeding
- primary care follow-up after emergency general surgery lowers 30 day hospital readmission (RR=0.33)[3]
More general terms
References
- ↑ American College of Cardiology Foundation/American Heart Association Task Force, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine, Society for Vascular Surgery, Fleisher LA, Beckman JA, Brown KA, Calkins H, Chaikof EL, Fleischmann KE, Freeman WK, Froehlich JB, Kasper EK, Kersten JR, Riegel B, Robb JF. 2009 ACCF/AHA focused update on perioperative beta blockade incorporated into the ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery. J Am Coll Cardiol 2009 Nov 24;54(22):e13-e118 PMID: https://www.ncbi.nlm.nih.gov/pubmed/19926002
Fleisher LA et al, ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for non-cardiac surgery... J Am Coll Cardiol 2007, 50:e159 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/17950140 <Internet> http://dx.doi.org/10.1016/j.jacc.2007.09.003 - ↑ Fleisher LA et al 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25091544 <Internet> http://content.onlinejacc.org/article.aspx?articleid=1893784
Kristensen SD et al 2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management. The Joint Task Force on non-cardiac surgery: cardiovascular assessment and management of the European Society of Cardiology (ESC) and the European Society of Anaesthesiology (ESA). Eur Heart J (2014). August 2014 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25086026 <Internet> http://eurheartj.oxfordjournals.org/content/early/2014/07/28/eurheartj.ehu282.extrac - ↑ 3.0 3.1 Moneme AN et al. Primary care physician follow-up and 30-day readmission after emergency general surgery admissions. JAMA Surg 2023 Sep 27; [e-pub]. PMID: https://www.ncbi.nlm.nih.gov/pubmed/37755816 PMCID: PMC10534988 (available on 2024-09-27) https://jamanetwork.com/journals/jamasurgery/fullarticle/2809996