Implementing change in the care of the complex cardiac patient

Research output: Contribution to journalReview articlepeer-review


Purpose of reviewDevelopment of advanced and minimally invasive surgical procedures is providing treatment opportunities to older and higher risk patients. This has also led to highly specialized physicians and a need for better communication and planning with the patients and within the care team.Recent findingsIn the field of cardiac surgery, the heart team model has been advocated and implemented as a vehicle to optimize decision making prior to procedure, care during the procedure and in the recovery process. The goal is to provide a treatment path that prioritizes the patient's goals and to anticipate and minimize complications.SummaryIn this review, we discuss the concepts of shared decision making (SDM) and implementation science in the context of the complex cardiac patient. We also review the most recent evidence for their use in cardiac surgery. We argue that a team model not only bridges knowledge gaps but provides a multidisciplinary environment for the practice of SDM and implementation of evidence-based practices. Be believe this will provide patients with a better experience as they navigate their care and improve their medical outcomes as well.

Original languageEnglish (US)
Pages (from-to)57-60
Number of pages4
JournalCurrent Opinion in Anaesthesiology
Issue number1
StatePublished - Feb 1 2023


  • dissemination science
  • evidence based practices
  • heart team model
  • implementation science
  • shared decision making

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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