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<p>Interdisciplinarity is no longer an option in cardiac medicine but a&#xa0;conditio sine qua non for quality and patient safety. This article traces the path from the historical beginnings to today’s cooperation structures from an anesthesiological perspective: from the heart team to hybrid surgery and cardiac catheterization laboratory to enhanced recovery after surgery (ERAS)/enhanced recovery after cardiac surgery (ERACS) pathways, postanesthesia care unit (PACU) concepts and intensive care medical treatment. The focus is on the contributions of anesthesiology to delirium prevention, patient blood management and echocardiography-assisted intraoperative control, flanked by structured qualification (e.g., certificates of the German Society of Anaesthesiology and Intensive Care Medicine, DGAI) and joint S3&#xa0;guidelines. The quality development is carried out systematically in the procedure of the Institute for Quality Assurance and Transparency in the Healthcare System (IQTIG) with indicator-based evaluation and a&#xa0;collegial comment process. The outlook outlines the further expansion of a&#xa0;joint interprofessional guideline ecosystem and its artificial intelligence (AI)-assisted implementation into routine care, including large language model (LLM)-based decision support, predictive models for complications and advances in AI-assisted echocardiography. The core message is: when cardiac surgery, cardiology and anesthesiology work together to develop standards and competencies, the results not only remain stable but also become measurably better, with higher safety, better patient experience and more resilient care structures.</p>

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Interdisziplinarität in der Herzmedizin – anästhesiologische Perspektive

  • 期刊论文

  • 发表日期：

    2026年1月28日

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  • Matthias Heringlake,
  • Jörg Ender,
  • Marit Habicher,
  • Stefan Henkel,
  • Ragnar Huhn-Wientgen,
  • Sascha Treskatsch,
  • Vera von Dossow,
  • M. Sander

摘要

Interdisciplinarity is no longer an option in cardiac medicine but a conditio sine qua non for quality and patient safety. This article traces the path from the historical beginnings to today’s cooperation structures from an anesthesiological perspective: from the heart team to hybrid surgery and cardiac catheterization laboratory to enhanced recovery after surgery (ERAS)/enhanced recovery after cardiac surgery (ERACS) pathways, postanesthesia care unit (PACU) concepts and intensive care medical treatment. The focus is on the contributions of anesthesiology to delirium prevention, patient blood management and echocardiography-assisted intraoperative control, flanked by structured qualification (e.g., certificates of the German Society of Anaesthesiology and Intensive Care Medicine, DGAI) and joint S3 guidelines. The quality development is carried out systematically in the procedure of the Institute for Quality Assurance and Transparency in the Healthcare System (IQTIG) with indicator-based evaluation and a collegial comment process. The outlook outlines the further expansion of a joint interprofessional guideline ecosystem and its artificial intelligence (AI)-assisted implementation into routine care, including large language model (LLM)-based decision support, predictive models for complications and advances in AI-assisted echocardiography. The core message is: when cardiac surgery, cardiology and anesthesiology work together to develop standards and competencies, the results not only remain stable but also become measurably better, with higher safety, better patient experience and more resilient care structures.