Welcome back to Niko’s Perioperative.

Because staying curious makes all the difference!

In this episode, we explore two groundbreaking publications from the esteemed journal “Anesthesiology” that have the potential to revolutionize our assessment of cardiovascular risk in non-cardiac surgical procedures.

We begin with Dr. Daniel Sessler’s compelling editorial, “Just Do It!”, where he advocates for the urgent implementation of preoperative troponin testing as a standard tool to predict and mitigate perioperative cardiovascular complications. Sessler’s insights set the stage for a transformative approach to perioperative care.

Then, we dive into the prospective study by Zhao and colleagues, which is the focus of Dr. Sessler’s editorial. This study evaluates the predictive power of NT-proBNP and high-sensitivity troponin T biomarkers. We discuss how combining these biomarkers with clinical indices like the Revised Cardiac Risk Index can significantly enhance our ability to identify patients at risk for major complications.

Join us for a conversation that bridges recent evidence with daily clinical practice, helping anesthesiologists make more informed decisions and improve patient safety.

Don’t miss this insightful episode packed with practical knowledge to elevate your perioperative care!

Stay curious!

References for this episode include:

1. ​1. Zhao, B.-C. et al. Preoperative N-terminal Pro–B-type Natriuretic Peptide and High-sensitivity Cardiac Troponin T and Outcomes after Major Noncardiac Surgery: A Prospective Cohort Study. Anesthesiology 141, 475–488 (2024).
2. ​2. Sessler, D. I. Just Do It! Anesthesiology 141, 428–430 (2024).