A Narrative Review of Clinical Decision Support Systems for Perioperative Bleeding Management in Cardiac Surgery.

Ahmed, Aamer; Spiess, Bruce; Kortsmit, Jeroen; Van den Ham, Rene; Erdoes, Gabor; Klein, Andrew (2023). A Narrative Review of Clinical Decision Support Systems for Perioperative Bleeding Management in Cardiac Surgery. Journal of cardiothoracic and vascular anesthesia, 37(9), pp. 1804-1812. Elsevier 10.1053/j.jvca.2023.05.008

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Bleeding complications in patients undergoing cardiac surgery are common. The clinician must assimilate multiple sources of monitoring information, make rational decisions on the etiology of the bleeding, and then formulate a treatment strategy. Clinical decision support systems that acquire this information and present the data in an easily usable format may be useful tools to guide the physician in optimizing treatment strategies through adherence to evidence-based best practice guidelines. The authors present a narrative review of the literature and discuss how clinical decision support systems may be useful to the clinician.

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