Title

Preoperative cardiac POCUS in high-risk non-cardiac surgery: A prospective study on anesthetic planning and outcomes

Authors

Swati Deswal¹, Shantanu Yadav^1,*, Ankur jakhar¹, Mohit Sheoran², Prachi Chauhan¹ & Juhi Mishra¹

Affiliation

¹Department of Anaesthesia, Varun Arjun Medical College, Shahjahanpur, Uttar Pradesh, India; ²Department of Orthopedics, SGT Medical College And Research Institute, Gurugram, Haryana, India; *Corresponding author

Email

Swati Deswal - E-mail: swatideswal2@gmail.com
Shantanu Yadav - E-mail: yadavshantanu86@gmail.com
Ankur jakhar - E-mail: ankurjakhar1202@gmail.com
Mohit Sheoran - E-mail: drmohitsheoran17@gmail.com
Prachi - E-mail: drprachi3008@gmail.com
Juhi Mishra - E-mail: juhimishra.9x@gmail.com

Article Type

Research Article

Date

Received October 1, 2025; Revised October 31, 2025; Accepted October 31, 2025, Published October 31, 2025

Abstract

The role of preoperative cardiac point-of-care ultrasound (POCUS) in modifying anesthetic management and influencing perioperative outcomes in high-risk non-cardiac surgery patients is of interest. A total of 120 adults with Revised Cardiac Risk Index ≥2 or significant cardiac comorbidity underwent standardized preoperative focused transthoracic echocardiography. Clinically significant previously undiagnosed cardiac findings were detected in 31.7% of patients, leading to anesthesia plan modifications in 24.2%, including escalation to invasive monitoring, anesthesia technique changes and preoperative cardiology consultation. Patients whose plans were modified experienced fewer intraoperative hypotensive episodes and reduced unplanned intensive care admissions compared with those without plan changes. Thus, we show the integration of preoperative cardiac POCUS into perioperative assessment pathways for high-risk surgical patients to optimize management and improve hemodynamic stability.

Keywords

Point-of-care ultrasound; focused transthoracic echocardiography; anesthetic management; high-risk surgery; perioperative outcomes

Citation

Deswal et al. Bioinformation 21(10): 3784-3787 (2025)

Edited by

Akshaya Ojha

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.