2017 EACTS guidelines on perioperative medication in adult cardiac surgery
Sousa-Uva, Miguel
Head, Stuart J.
Milojević, Milan, 1985-
Collet, Jean-Philippe
Landoni, Giovanni
Castella, Manuel
Dunning, Joel
Gudbjartsson, Tomas
Linker, Nick J.
Sandoval, Elena
Thielmann, Matthias
Jeppsson, Anders
Landmesser, Ulf
PREAMBLE The European Association for Cardio-Thoracic Surgery (EACTS) Guidelines Committee is part of the EACTS Quality Improvement Programme and aims to identify topics in cardiothoracic surgery where there is a need for guidance. Clinical guidelines are issued for areas where there is substantial evidence to support strong recommendations, usually derived from randomized clinical trials or large registries. Quality criteria for developing clinical guidelines require transparency on how they are formulated. The methodology manual for the EACTS clinical guidelines was issued to standardize the developmental process of evidence-based documents.Members of the task force to develop a clinical guideline on perioperative medication in adult cardiac surgery were selected for their expertise in their respective areas. To increase the credibility of evidence-based documents, EACTS aims for a collaborative process with other specialists also involved in the diagnosis or treatment of the given condition. For the current clinical guideline, non-cardiac surgeon specialists, known to be experts in their particular domains, were invited to join the task force; however, it should be noted that other scientific societies have not officially endorsed this clinical guideline. Task force members undertook an evidence review, assisted by 2 dedicated research fellows. The level of evidence (Table 1) and the strength of the recommendations (Table 2) were weighed and graded according to predefined scales. In accordance with the methodology manual for the EACTS clinical guidelines, task force members were asked to complete declarations of interest (...)
engleski
2018
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Key words: EACTS Guidelines, cardiac surgery, perioperative medication, risk reduction, secondary prevention, coronary artery bypass grafting, CABG, valve replacement, transcatheter aortic valve implantation, antiplatelet, antithrombotic, beta-blockers, statins, glucose management, pain, steroids, antibiotics, atrial fibrillation