EVALUATION OF PERIOPERATIVE STRATEGIES TO REDUCE COMPLICATIONS IN HIGH-RISK HEART SURGERY

Abstract

This article presents a systematic review of perioperative strategies aimed at reducing complications in high-risk cardiac surgeries. The research looked at a variety of strategies, including pre-operative optimization, advanced surgical techniques, intra-operative management and post-operative care, with the aim of identifying effective approaches in improving surgical outcomes and minimizing complications. Preoperative optimization proved to be fundamental in identifying and treating comorbidities, contributing to reducing the risk of cardiac and non-cardiac complications. Advanced surgical techniques such as minimally invasive surgery and robotic surgery have demonstrated benefits in terms of recovery and reducing post-operative infections. Careful intraoperative management, including the "beating heart" approach, minimized risks such as stroke and acute renal dysfunction. Furthermore, multidisciplinary postoperative care and intensive monitoring played a crucial role in improving clinical outcomes. This summary highlights the importance of combining these strategies to reduce complications in high-risk cardiac surgeries, emphasizing the need for a personalized approach and interdisciplinary collaboration to optimize clinical outcomes.