2014
Guidelines and Perioperative Care of the Elderly
Akhtar S. Guidelines and Perioperative Care of the Elderly. International Anesthesiology Clinics 2014, 52: 64-76. PMID: 25268865, DOI: 10.1097/aia.0000000000000033.Peer-Reviewed Original Research
2011
Perioperative glycemic management in 2011
Maerz LL, Akhtar S. Perioperative glycemic management in 2011. Current Opinion In Critical Care 2011, 17: 370-375. PMID: 21734491, DOI: 10.1097/mcc.0b013e328348beb7.Peer-Reviewed Original ResearchMeSH KeywordsAlgorithmsCritical IllnessHumansHyperglycemiaHypoglycemic AgentsInsulinPerioperative CareConceptsIntensive insulin therapyInsulin infusion protocolBlood glucose targetsAcute care settingGlycemic managementGlucose targetsCare settingsTarget blood glucose levelsAppropriate glycemic managementNICE-SUGAR trialPerioperative glycemic managementIncidence of hypoglycemiaBlood glucose levelsBlood glucose rangeLandmark studiesInsulin therapyPerioperative periodIntensive carePatient populationGlucose variabilityInfusion protocolGlucose levelsGlucose monitoring devicesGlucose rangeICU
2010
Coronary stents: factors contributing to perioperative major adverse cardiovascular events
Barash P, Akhtar S. Coronary stents: factors contributing to perioperative major adverse cardiovascular events. British Journal Of Anaesthesia 2010, 105: i3-i15. PMID: 21148653, DOI: 10.1093/bja/aeq318.Peer-Reviewed Original ResearchConceptsMajor adverse cardiovascular eventsAdverse cardiovascular eventsCardiovascular eventsStent thrombosisRisk factorsPerioperative major adverse cardiovascular eventsContinuation of aspirinDual antiplatelet therapyNon-cardiac surgeryRisk of bleedingPercutaneous coronary interventionCoronary blood flowMajor risk factorDominant risk factorBare metal stentsDrug-eluting stentsNeuraxial anesthetic techniquesHigh mortality rateClopidogrel therapyAntiplatelet therapyCoronary interventionEpidural haematomaElective surgeryAnesthetic techniqueMyocardial ischaemiaScientific Principles and Clinical Implications of Perioperative Glucose Regulation and Control
Akhtar S, Barash PG, Inzucchi SE. Scientific Principles and Clinical Implications of Perioperative Glucose Regulation and Control. Anesthesia & Analgesia 2010, 110: 478-497. PMID: 20081134, DOI: 10.1213/ane.0b013e3181c6be63.Peer-Reviewed Original ResearchConceptsIntensive glycemic controlGlycemic controlPerioperative periodPostsurgical patientsAcute insulin resistanceClose glucose monitoringPerioperative glycemic controlRecent prospective trialsDevelopment of hyperglycemiaRisk of hypoglycemiaIntraoperative glycemic controlNeuroendocrine stress responseGlycemic targetsProspective trialIll patientsIntraoperative managementPoor outcomeInsulin resistanceImproved outcomesTrue efficacyGlucose levelsGlucose regulationHyperglycemiaPatientsClinical implications
2006
Ischemic Heart Disease
Akhtar S. Ischemic Heart Disease. Anesthesiology Clinics 2006, 24: 461-485. PMID: 17240602, DOI: 10.1016/j.atc.2006.04.002.Peer-Reviewed Original ResearchConceptsLee Cardiac Risk IndexACC/AHA guidelinesPerioperative cardiac riskPreoperative coronary revascularizationStructured management protocolCardiac Risk IndexPostoperative myocardial injuryIntraoperative anesthetic managementIschemic heart diseaseAlpha-2 agonistsLong-term outcomesRole of biomarkersNumber of patientsCoronary revascularizationNoncardiac surgeryPerioperative morbidityPostoperative morbidityAHA guidelinesAnesthetic managementCardiac riskPostoperative managementPostoperative phaseRisk stratificationMyocardial injuryHemodynamic control
2004
Assessment and management of patients with ischemic heart disease
Akhtar S, Silverman DG. Assessment and management of patients with ischemic heart disease. Critical Care Medicine 2004, 32: s126-s136. PMID: 15064671, DOI: 10.1097/01.ccm.0000121576.73871.2d.Peer-Reviewed Original ResearchConceptsIschemic heart diseasePerioperative cardiac morbidityHeart diseaseCardiac morbidityNoncardiac surgeryPerioperative cardiovascular outcomesPreoperative evaluation processPerioperative myocardial infarctionManagement of patientsAlpha-2 agonistsCardiac-specific biomarkersAmerican Heart AssociationIntraoperative anesthetic techniqueReview of literatureCardiovascular outcomesPerioperative managementPharmacologic therapyPostoperative managementAnesthetic techniqueHeart AssociationHemodynamic controlJoint guidelinesMyocardial infarctionAmerican CollegeHemodynamic stress