Review Article   

Minerva Anestesiologica 2022 Apr 26

DOI: 10.23736/S0375-9393.21.16034-1

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Prediction, prevention and management of new onset peri-operative atrial fibrillation and flutter in patients undergoing non-cardiac thoracic surgery: a narrative review

Jie LIU, Wuhua MA, Yankui HUANG, Huihui LIU, Caineng WU ✉

Department of Anesthesiology, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China

Peri-operative atrial fibrillation and flutter (POAF) is recognized as a common complication of non-cardiac thoracic surgery. It is associated with hemodynamic instability, prolonged hospital stay, a risk of stroke and increased risk of mortality. The potential pathogenesis for POAF after non-cardiac thoracic surgery is multifactorial and not fully understood yet. Evaluation of risk factors and prediction of POAF can be beneficial for prevention and management of POAF in patients undergoing non-cardiac thoracic surgery. In this article, we reviewed related studies in order to provide a practically and clinically applicable strategy for anesthesiologists to effectively predict, prevent and manage new onset POAF in patients undergoing non-cardiac thoracic surgery.

KEY WORDS: Lung resection; Esophagectomy; Risk factors; Arrhythmia; Anesthesia method