Narrative Literature Review Research Articles

Unlocking urban blue-green infrastructure: an interdisciplinary literature review analysing co-benefits and synergies between bio-physical and socio-cultural outcomes

ABSTRACT Conventional methods of urbanization and risk management have exposed communities to multiple climatic, ecological, and social vulnerabilities. Urban blue-green infrastructure (BGI) refers to a range of nature-based approaches to mitigating the impacts of hazards and enhancing the connections between natural and social capitals, with a particular focus on the presence and management of water elements. However, the bio-physical benefits of BGI are often prioritized over a wider range of potential social-ecological co-benefits. This article draws on a narrative literature review to present the bio-physical and socio-cultural co-benefits of urban BGI, and to examine the relationships, synergies, and trade-offs between these. This review identifies a wide range of socio-cultural and bio-physical benefits of blue-green stormwater infrastructure, including improved mental and physical wellbeing, enhanced cultural connections and values, strengthened social cohesion and sense of place, amelioration of urban heat island effects, reduction of flood risks, improved water quality, and enhanced biodiversity. A number of environmental and socio-cultural trade-offs were identified between these co-benefits, however, including the presence of negatively viewed insects and plant-produced allergens. Aimed at expanding knowledge on the effective implementation of urban BGI to achieve such outcomes, this review highlights wider co-benefits and relationships between them.

E-cigarettes as a risk factor for cardiovascular diseases: a narrative literature review

E-cigarettes as a risk factor for cardiovascular diseases: a narrative literature review

Exploring the Relationship Between Voice Disorders in Indian Classical Music and the Guru-Shishya Parampara Through an Understanding of the Autonomic Nervous System

ABSTRACT The Guru-Shishya Parampara (GSP), translated as the teacher-student tradition, is a lineage-based oral tradition in Indian Classical Music (ICM). This study explores the relationship between GSP’s traditional obedience-authority dynamic and prevalent voice disorders experienced by ICM practitioners. Combining Constructivist Grounded Theory document analysis and a narrative literature review, the research investigates how disciplinarian tendencies and power differentials in authoritarian implementations of the GSP may contribute to or reinforce voice disorders resulting from psychological strain. Adopting the Indigenous Research Paradigm, the study prioritizes insights from ICM practitioners’ lived experiences within the cultural context of ICM within the analysis. A narrative review of existing literature on the links between autonomic nervous system responses associated with psychological stressors and voice disorders is discussed to further understand the impact of authoritarian GSPs on singers’ voices. Literature on compassion is additionally explored to discuss potential solutions to address the identified issues. Through this approach, the study offers insights into the complex interactions between power dynamics, psychological strain, and voice disorders within obedience-expectant GSPs, aiming to contribute to the development of effective interventions, highlighting that which already exists within ICM culture, to promote vocal health and overall well-being in this ancient and culturally significant tradition.

Indigenous access to clinical services along the lung cancer treatment pathway: a review of current evidence.

Lung cancer is a deadly cancer. Early diagnosis and access to timely treatment are essential to maximizing the likelihood of survival. Indigenous peoples experience enduring disparities in lung cancer survival, and disparities in access to and through lung cancer services is one of the important drivers of these disparities. In this manuscript, we aimed to examine the current evidence on disparities in Indigenous access to services along the lung cancer treatment pathway. A narrative literature review was conducted for all manuscripts and reports published up until July 20, 2022, using Medline, Scopus, Embase, and Web of Science. Following the identification of eligible literature, full-text versions were scanned for relevance for inclusion in this review, and relevant information was extracted. After scanning 1,459 documents for inclusion, our final review included 36 manuscripts and reports that included information on lung cancer service access for Indigenous peoples relative to non-Indigenous peoples. These documents included data from Aotearoa New Zealand, Australia, Canada, and the USA (including Hawai'i). Our review found evidence of disparities in access to, and the journey through, lung cancer care for Indigenous peoples. Disparities were most obvious in access to early detection and surgery, with inconsistent evidence regarding other components of the pathway. These observations are made amid relatively scant data in a global sense, highlighting the need for improved data collection and monitoring of cancer care and outcomes for Indigenous peoples worldwide. Access to early detection and guideline-concordant treatment are essential to addressing enduring disparities in cancer survival experienced by Indigenous peoples globally.

The Role of Adrenomedullin as a Predictive Marker of the Risk of Death and Adverse Clinical Events: A Review of the Literature.

Adrenomedullin (ADM) is a vasodilatory peptide that plays a crucial role in maintaining cardiovascular health through its various biological functions. ADM was discovered in the acidic extract of human pheochromocytoma tissue and has been recognized for its significant effects on the vascular system. The main functions of ADM include vasodilation, controlling blood pressure and maintaining vascular integrity, although its role on cardiovascular health is broader. Research has shown that elevated levels of adrenomedullin have been observed in a large number of severe diseases, with high risk of death. In this work, we examined the role of ADM as a predictive molecule of the risk of mortality and adverse clinical outcome through a narrative review of the scientific literature. The results were divided based on the pathologies and anatomical districts examined. This review demonstrates how ADM shows, in many diseases and different systems, a close correlation with the risk of mortality. These results prove the value of ADM as a prognostic marker in various clinical contexts and diseases, with utility in the stratification of the risk of clinical worsening and/or death and in the evaluation of therapeutic efficacy. The results open new perspectives with respect to the concrete possibility that ADM enters clinical practice as an effective diagnostic and prognostic marker of death as well as a molecular target for therapies aimed at patient survival.

Transdisciplinary architectures: reconnecting theories, research and practices

PurposeTransdisciplinarity was the core subject of a special issue of Futures in 2004 including numerous cases of interdisciplinary and transdisciplinary architectural and urban research and professional practice in several countries. This paper takes stock of achievements during the last 20 years before presenting challenges about bridging persistent gaps between theory, research and practice.Design/methodology/approachThe special issue of Futures is a benchmark for numerous publications about transdisciplinarity in and beyond the multidisciplinary and intersectoral field of built environments. This paper presents a narrative literature review of publications about transdisciplinarity in architecture, urban design and planning since the 1970s.FindingsTransdisciplinarity is still being debated, is often contested, and is not mainstream in research or practice. Like design practice, transdisciplinary inquiry is a creative process involving border work by participants in collaborative projects. Transdisciplinary inquiry is broader in scope and purpose than public participation, participatory action research and team science.Originality/valueThis paper discusses challenges that should be addressed by those in the field of built environments who endorse transdisciplinarity. Based on a half century of contributions about design theory and methods, the paper differentiates inquiry from research as fundamental to transdisciplinary projects.

Arts and The Environment: Intersections and Dynamics of Community Outreach

Objective: The objective of this study aims to reflect on an organized set of synergies that contribute to an effective artistic-environmental dialogue: the aim of this interdisciplinary dialogue is to promote a balanced, conscious and informed plan of environmental education, mediated by art. In this specific case, the promotion of artistic and cultural events becomes a subsidiary of agents' ecological awareness and consequently acts as a force capable of mobilizing and raising awareness among current and future generations of the central causes and issues of contemporary society, precisely, those that relate to the “common home”. Theoretical Framework: We have put together a tripartite theoretical framework in which ethical, aesthetic and artistic issues are related from a dialogical perspective between art and the environment and their respective impacts in terms of intervention in the community and with the community. Method: Narrative literature review, seeking to describe or discuss the current state of the research topic and, in particular, to draw conclusions for the results and discussion of the effects and impacts of the practices resulting from this initiative that covers a significant and broad generational framework (from early childhood to old age), applying the same model and method. In this case, the MILMESA Method and the DEP Model. Results and Discussion: The main results emerge as the conclusion of a concrete analysis of the reality observed and the theoretical matrices that underpinned the model and method used. These results are important for future reflection, in terms of what is meant by future adjustments to the results obtained in this research context. Implications of the research: In the future, there are certain considerations that can be reflected on and improved, based on the structure and conceptual basis emanating from the reference authors (and works) that deal with the subject under debate and intergenerational reflection. Originality/Value: This research promotes, in a unique way, a reflection on the making of technical-scientific, participatory and interdisciplinary events, which are in great demand at an educational and scientific level, in which art and art education emerge as a dialogue between areas and as an added value in the framework of the methodologies used in this type of initiative. The aim is to align research and artistic work (and related works) and, at the same time, to reflect on the practices and projects carried out in this field with scientific and training institutions in general, including institutions with more plural and diverse missions in terms of formal, non-formal and informal education.

Barriers and facilitators when implementing midwifery continuity of carer: a narrative analysis of the international literature

BackgroundMidwifery continuity of carer (MCoC) is a model of care in which the same midwife or small team of midwives supports women throughout pregnancy, birth and the postnatal period. The model has been prioritised by policy makers in a number of high-income countries, but widespread implementation and sustainability has proved challenging.MethodsIn this narrative review and synthesis of the global literature on the implementation and sustainability of midwifery continuity of carer, we identify barriers to, and facilitators of, this model of delivering maternity care. By mapping existing research evidence onto the Consolidated Framework for Implementation Research (CFIR), we identify factors for organisations to consider when planning and implementing midwifery continuity of carer as well as gaps in the current research evidence.ResultsAnalysing international evidence using the CFIR shows that evidence around midwifery continuity of carer implementation is patchy and fragmented, and that the impetus for change is not critically examined. Existing literature pays insufficient attention to core aspects of the innovation such as the centrality of on call working arrangements and alignment with the professional values of midwifery. There is also limited attention to the political and structural contexts into which midwifery continuity of carer is introduced.ConclusionsBy synthesizing international research evidence with the CFIR, we identify factors for organisations to consider when planning and implementing midwifery continuity of carer. We also call for more systematic and contextual evidence to aid understanding of the implementation or non-implementation of midwifery continuity of carer. Existing evidence should be critically evaluated and used more cautiously in support of claims about the model of care and its implementation, especially when implementation is occurring in different settings and contexts to the research being cited.

Challenges of Extracting and Determining Cannabinoids in Different Matrices.

Introduction: Accurate and precise analysis of cannabinoids is important for elucidating their therapeutic potential and developing therapies, which are targeted toward different medical conditions. A wide range of cannabis products are present on the market and are available in different dosage forms, including dried flowers, extracts, and consumables. The aim of this article is to provide an updated narrative review of literature on challenges of analyzing cannabinoids in plant material, oils, and edibles. Method: Literature search was conducted to identify sample preparation and analytical techniques for determination of cannabinoids in plant material, oils, and edibles and associated challenges. Results: Challenges related to determination of cannabinoids in plant material include matrix complexity, co-extraction of unwanted compounds during sample preparation, and differences in matrix composition between calibration standards and sample extracts. During analysis of cannabinoids in oil, the unique properties of carrier oils need to be taken into consideration. Analysis of cannabinoids in edibles can be considered to be challenging due to the wide range of matrix types that are available on the market, rendering analysis resource-intensive, time-consuming, and impractical. Discussion: Analysis of cannabinoids in plant material, oils, and edibles requires a multifaceted approach that includes regulatory guidance, method development, and technological innovation. In the face of an evolving analytical landscape where novel cannabinoids are being identified and require determination, there is a need for the development and validation of standardized accurate and precise analytical methods, which are specifically tailored for each matrix.

Art and science of dental photography: suggested photographic protocol with cellular device

Photography is characterized as the science and art of producing and creating images. With the evolution of technology, photography has permeated medical sciences, becoming an effective tool for different areas, such as Dentistry. For this reason, the aim of this study was to understand and discuss the importance of photography in the dental field, through a narrative literature review, and to produce a suggestion for a basic photographic protocol using a mobile phone, equipment available to a large portion of dental students and dentists. This article reviews dental photography through an advanced search in the PubMed and Virtual Health Library (VHL) databases. In addition, produce basic technical content, through a protocol, aimed at Dentistry students about the use of photography with cell phones. It has been found that photographic production depends on numerous factors: knowledge of basic photographic concepts, understanding of light manipulation techniques, and the use of equipment suitable for each case. From 1840 to the present day, photography has deeply permeated the dental context. However, there are different photographic protocols with distinct settings for intraoral and extraoral photographs. The protocol suggested in this study aimed to facilitate and standardize photographic documentation performed in the office, using a mobile phone, making the process simple and feasible for dental students and dentists. Photography plays a central role in contemporary Dentistry, being useful in different areas and facilitating the storage of patient data and treatment predictability. However, there is a necessity to promote the teaching of dental photography.

The Evolution of Robotic Surgery through the Machine Design Innovation

To date, robotic surgery has gained much popularity, impacting deeply on surgical fields such as genitourinary system branches, general surgery, and cardiac surgery. We aim to outline the landscape of robotic surgery, focusing on design improvements, which have improved both the technical skills of surgeons and the outcomes of minimally invasive technique for patients. A thorough narrative literature review was conducted on PubMed/MEDLINE, employing keywords such as “robotic surgical system”, “robotic surgical device”, and “robotics AND urology”. Furthermore, the reference lists of the retrieved articles were scrutinized. The analysis focused on urological surgical systems from the 2000s to the present day. Beginning with the daVinci® Era in the 2000s, new robotic competitors, including Senhance®, Revo-I®, Versius®, Avatera®, Hi-notori®, and HugoTM RAS, have entered the medical market. While daVinci® has maintained a high competitiveness, even more new platforms are now emerging in the medical market with new intriguing features. The growing competition, driven by unique features and novel designs in emerging robotic technologies, has the potential to improve application fields, enhance diffusion, and ameliorate the cost effectiveness of procedures. Since the impact of these new surgical technologies on different specialties and healthcare systems remains unclear, more experience and research are required to define their evolving role.

Two Decades of Medical Spanish Education: A Narrative Review

Purpose : Education on medical Spanish, defined as the use of Spanish by clinicians for communication with patients, has proliferated rapidly since the first guidelines were published in 2008. This study aims to characterize the scope of the field, identify gaps, and propose emerging questions for future study. Method : The authors conducted a narrative review of the medical Spanish education literature published from 2000 to 2023. First, a comprehensive search algorithm was developed across three databases (Medline, Scopus, and Web of Science Core Collection) and conducted on August 2, 2023. Two reviewers then independently assessed articles for inclusion/exclusion and subsequent categorization of included articles. Results : The search identified 1,303 articles, and authors added ten articles from other sources. A total of 138 individual articles were included in the final categorization and sub-analysis. There has been an upward trend in the number of articles published yearly since 2000. Most publications were educational interventions (67/138, 49%), followed by commentaries/perspectives (27/138, 20%), proficiency testing (17/138, 13%), needs assessments (16/138, 12%), reviews (6/138, 4%), and vocabulary analyses (5/138, 4%). Slightly over half of publications (72/138, 52%) were centered on physicians or physicians-in-training, with 23 (17%) articles applicable across health professions, and a few focused on pharmacists, nurses, physical therapists, psychologists, physician assistants, and genetic counselors. The vast majority (119/138, 86%) were published in medical/scientific journals and 19 (14%) in language/humanities journals. All but two first authors were affiliated with United States institutions, representing 30 states and Puerto Rico. Conclusions : Over the past two decades, many medical Spanish educational interventions have been published, and several assessment tools have been developed and validated. Gaps remain in evaluation data to demonstrate course effectiveness, the use of pedagogical frameworks to guide curricula, faculty development opportunities, and the role of heritage Spanish learners. Future work should address medical Spanish gaps in health professions and medical specialties, explore patient-engaged approaches to research, and evaluate longitudinal outcomes.

Carpal tunnel syndrome related to rheumatic disease (Review).

Carpal tunnel syndrome (CTS) is the most commonly occurring type of entrapment neuropathy in the world. Several conditions may contribute to the development of CTS, such as obesity, repetitive wrist movements, pregnancy, genetic predisposition and rheumatoid arthritis (RA) inflammation. CTS is characterized by a wide range of pathophysiological factors, including increased pressure, mechanical trauma and ischemic damage to the median nerve that runs through the wrist tunnel. In the present narrative literature review, the way rheumatic diseases (RDs) contribute to CTS occurrence is investigated. The epidemiological, clinical, paraclinical and pathogenesis aspects of the relationship are examined. CTS is the most common neurological finding in RA, and incidences of RA, psoriatic arthritis and CTS are closely related. The association of CTS with systemic lupus erythematosus, Sjögren's syndrome, Behcet's disease and systemic sclerosis is weaker. In these cases, the prevalence of CTS is similar to that in the general population. As the occurrence of CTS is increasing, understanding the common mechanism and making an early diagnosis are required to limit pain and costs. When patients with RD present with symptoms such as wrist pain, tingling sensations or numbness in their fingers, CTS should be suspected. This suspicion should not be interpreted in terms of RD. To accurately evaluate patients with RD, a detailed electrophysiological examination should be included in the evaluation process. A diagnostic algorithm should include neuromuscular ultrasound or magnetic resonance imaging for patients with RD.

Bridging disciplines-key to success when implementing planetary health in medical training curricula.

Planetary health is being or should be added to medical training curricula in accordance with association consensus. Several articles published in recent years have addressed concern on the implementation, and the challenges that can occur if not addressed properly. This scoping narrative literature review focuses on planetary health as a concept, as well as challenges and suggested solutions to address these challenges. Planetary health is an important concept and needs to be addressed in all medical training. We found that one main challenge is implementation without ensuring the right competences and resources. Medically trained teachers set out to understand and teach complex natural and social systems. At some institutions the time allocated to teach planetary health is limited or non-existent. Case studies and student led teaching are solutions suggested, while other argue that true interdisciplinarity by inviting experts are more in line with what we expect from other subjects. In conclusion, the roots of planetary health, the enormous health risks at stake and nature of the subject requires medical training to adopt a true inter/trans-disciplinary approach to succeed. It might not be expected for all students to become planetary health experts, but all need a general understanding of the most important aspects and values.

Digital twin technology training and research in health higher education: a review

Healthcare strives to ensure overall physical, mental, and emotional well-being for individuals while managing limited resources efficiently. Digital technologies can offer cost reduction, improved user experience, and expanded capacity. In addition, modern automation technologies, which were implemented in industrial control systems or industrial automation control systems, are essential for ensuring the availability of societies’ critical cyber-physical systems (CPSs) and the services they provide, such as healthcare. This narrative literature review produces information that can be applied when planning and implementing an interdisciplinary biomedical and health informatics (BMHI) master’s education focused on the challenges of digitalization in the health sector. The review results that virtual human twins (VHTs) are revolutionizing healthcare by addressing people’s complex medical problems with real-time monitoring and precision care while digital twin (DT) technology can make the hospital’s operational processes resilient and efficient. Thus, future BMHI education must address these technologies with a multidisciplinary approach, including computer science, information science, engineering, basic sciences, health sciences, socio-behavioral sciences, and ethical, legal, and policy aspects. Collected and cumulative data is essential for cognitive DTs. A prerequisite for this data is information sharing between different CPSs. Better information sharing and the development of scalable cognitive DTs and VHTs, the provision of critical services, quality, and cost-effectiveness, as well as health, safety, and resilience, will improve. Similarities between peoples’ health information exchange and information needed for ensuring the resilience of CPSs exist. Since humans are in many ways more complex than CPSs, security engineers have a lot to learn from VHTs in maintaining the resilience of CPSs. Cross-sectoral research and cooperation with different disciplines are essential for the progress of both human health and the resilience of CPSs. Along with interdisciplinary research cooperation, educational cooperation should also be intensified.

A Review of Options and Costs for Mitigating GHG Emissions from the U.S. Dairy Sector

The U.S. dairy sector is a significant emitter of methane and nitrous oxide, with the US EPA estimating it produced around 90 Tg CO2 eq. in 2021. This paper reviews the literature on and evaluates various mitigation actions for reducing GHG emissions in the U.S. dairy sector, focusing on both direct and indirect emission sources. We conducted a narrative literature review based on the cradle to gate life-cycle assessment method, covering the entire dairy supply chain up until milk enters retail establishments, including dairy and feed producing farm practices, processing, transportation, and their associated emissions/costs. The papers included were selected over a three year process depending on discussions with experts and issues mentioned in the emerging literature. We review significant opportunities for the U.S. dairy sector to reduce emissions, particularly through improved enteric fermentation and manure management practices. Additionally, we cover the potential for mitigating indirect emissions from feed production, processing, and transportation, areas less frequently covered in existing studies. This review also covers a gap in the literature by integrating economic findings including cost analysis and incentives to mitigate based on the social value of emissions reductions.

Incarcerated gravid uterus: a new treatment using the transvaginal ultrasound probe and narrative literature review

Background‘Incarcerated gravid uterus’ is a morbid complication that occurs in 1 in 3000 pregnancies. It is characterized by failure of a retropositioned uterus to become an abdominal organ between 12-14 weeks of gestation. If maternal symptoms develop or gestational age surpasses 14-16 weeks, replacement of a retropositioned uterus is recommended to reduce adverse outcomes. Previously described techniques for management include passive reduction, digital replacement, or more invasive methods such as laparoscopy, laparotomy, or sigmoidoscopy. These methods are either minimally effective, painful, or risky. ObjectiveThe objective of this report is to describe our clinical experience with a new minimally-invasive technique that uses the transvaginal ultrasound probe for uterine replacement in cases of incarceration, to conduct a narrative literature review on ‘incarcerated gravid uterus,’ and to propose an algorithm for management of this condition. Study DesignThis is a case series of eight patients with an incarcerated gravid uterus who were managed with the transvaginal ultrasound probe technique at one academic medical institution between March 2020 and July 2023, as well as a narrative review of the literature on ‘incarcerated gravid uterus.’ PubMed, Google Scholar, and Ovid MEDLINE databases were searched for the terms “incarcerated gravid uterus,” “uterine incarceration,” “uterine sacculation,” and “retroverted uterus” up to April 2024. ResultsThe transvaginal ultrasound probe technique resulted in successful uterine replacement, with resolution of symptoms, in all eight patients. All pregnancies resulted in live births with good neonatal outcomes—seven out of eight patients delivered at term, and one delivered in the late preterm period. ConclusionOur proposed technique for treatment of an incarcerated gravid uterus with the transvaginal ultrasound probe is simple, minimally-invasive and effective. Based on our experience and the narrative literature review, an algorithm for the management of an incarcerated gravid uterus is proposed.

The migraine epidemic among medical students: a call for action.

Migraine is characterized by recurrent headaches of moderate-to-severe intensity and poses a significant challenge for medical students. This is a narrative literature review using PubMed and Scopus databases. This study examines how common migraine is in this group and suggests working together to address how it affects students' well-being and chances of succeeding as a medical professional in the future. Early diagnosis by licensed medical specialists is essential for effective management of migraine. To address this, the authors propose a multifaceted strategy. By including direct education on migraines in medical school curricula, future doctors will be better prepared to treat patients with comparable problems and manage their own migraines. Students with migraines can also benefit greatly from creating a supportive learning environment through staff training, accommodating academic policies, and providing easily available healthcare resources. In addition, this technology may be helpful. Apps for relaxation and migraine tracking can help students better manage their condition. Long-term success requires cooperation among all parties. By promoting cooperation among medical schools, student associations, healthcare practitioners, and governmental organizations, the authors can raise public awareness of migraine, make pertinent resources easier to access, and create evidence-based solutions specially designed to meet the needs of medical students who experience migraine. In the end, putting student well-being first and working together to put these solutions into practice can enable aspiring doctors to succeed at both personal and professional levels.

The Influence of Lifelong Learning on Life Satisfaction and Successful Aging in Older Adults: A Narrative Literature Review.

To explore the association between lifelong learning (LL) and successful aging and discover ways that primary care nurses (PCNs) may facilitate successful aging by promoting LL. A narrative review of international evidence from Google Scholar, PubMed, CINAHL Plus, Ovid, and ProQuest was conducted. Twenty-one articles were reviewed. A theoretical framework supported by Troutman-Jordan's theory of successful aging and Baltes and Baltes' model of selection, optimization, and compensation were implemented to examine and illustrate findings. Evidence consistently showed a positive correlation between LL and successful aging. Promotion of successful aging is an important consideration in PCN practice. This study brings awareness to the value of LL in achieving that goal. Incorporating strategies, such as encouraging creative activities and healthy behaviors, cultivating positive perceptions about aging, and helping patients meet their perceived needs, fosters coping with growing older. [Journal of Gerontological Nursing, 50(8), 11-17.].

Anesthesia and Patients With Cardiovascular Diseases: Challenges and Approaches

Objective: This article analyzes anesthesia strategies for cardiovascular patients, highlighting challenges and advances. The review evaluates the effectiveness of approaches like continuous hemodynamic monitoring and personalized plans in reducing perioperative complications. It also proposes measures to overcome implementation barriers, emphasizing the need for integrated health policies and innovative technologies to improve outcomes and reduce mortality. Theoretical Framework: Effective management of anesthesia in patients with cardiovascular diseases is crucial due to the increasing global prevalence of these conditions and their association with severe complications such as myocardial infarction, heart failure, and thromboembolic events. Method: A narrative literature review was conducted using major scientific databases to collect articles on anesthesia management for cardiovascular patients. Key studies were evaluated to measure the effectiveness of continuous hemodynamic monitoring and personalized plans. Specific keywords helped identify research on challenges and advances, allowing for synthesis of effective strategies and identification of implementation gaps. Results and Discussion: The review found that continuous hemodynamic monitoring and personalized anesthesia plans reduce perioperative complications in cardiovascular patients, significantly decreasing myocardial infarction, heart failure, and thromboembolic events. Implementation barriers include limited access to specialized services and managing patients with multiple comorbidities. Improving access to specialized care, continuously training healthcare professionals, and developing integrated policies and innovative technologies are essential for better diagnosis, treatment, and outcomes, reducing perioperative mortality.