Abstract

The 2022 Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery of the European Society of Cardiology are an update on the previous guidelines reported in 2014. The revised guidelines provide standardized perioperative cardiovascular management of surgical patients and emphasis on risk assessment of the patient combined with the inherent risk of the surgical procedure. One of the novelties in these guidelines is the Patient Blood Management programme, which is based on a three pillar concept: preoperative hemoglobin optimization, minimize iatrogenic blood loss and bleeding, and harness tolerance to anemia in an effort to improve patient outcome. In this review, we highlight the three pillars of Patient Blood Management and recommendations made by the 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery.

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Authors

Sigrun Halvorsen - Department of Cardiology, Oslo University Hospital Ullevål, and University of Oslo, Oslo, Norway https://orcid.org/0000-0001-7561-7644

Julinda Mehilli - Department of Cardiology, Pneumology and Intensive Medicine, Hospital Landshut-Achdorf, Landshut, Germany; Munich University Clinic, Ludwig-Maximilians University, Munich, Germany; German Centre for Cardiovascular Research (DZHK), partner site Munich Heart Alliance, Munich, Germany https://orcid.org/0000-0002-8750-5567

Suma Choorapoikayil - Goethe University Frankfurt, University Hospital Frankfurt, Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, Frankfurt, Germany https://orcid.org/0000-0003-0817-3371

Kai Zacharowski - Goethe University Frankfurt, University Hospital Frankfurt, Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, Frankfurt, Germany https://orcid.org/0000-0002-0212-9110

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