Published in:
Open Access
14-05-2024 | Endocarditis | Review Article
Perioperative care in infective endocarditis
Authors:
Eduard Quintana, Sara Ranchordas, Cristina Ibáñez, Polina Danchenko, Francis Edwin Smit, Carlos - Alberto Mestres
Published in:
Indian Journal of Thoracic and Cardiovascular Surgery
|
Special Issue 1/2024
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Abstract
Patients undergoing surgery for acute infective endocarditis are among those with the highest risk. Their preoperative condition has significant impact on outcomes. There are specific issues related with the preoperative situation, intraoperative findings, and postoperative management. In this narrative review, focus is placed on the most critical aspects in the perioperative period including the management and weaning from mechanical ventilation, the management of vasoplegia, the management of the chest open, antithrombotic therapy, transfusion, coagulopathy, management of atrial fibrillation, the duration of antibiotic therapy, and pacemaker implantation.