Anaesthesia for minimally invasive cardiac procedures in the catheterization lab.

IF 2.1
Catherine Reid, Massimiliano Meineri, Thomas Riva, Thomas Pilgrim, Lorenz Räber, Markus M Luedi
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引用次数: 1

Abstract

Purpose of review: The share of cardiac procedures performed in settings involving nonoperating room anaesthesia (NORA) continues to grow rapidly, and the number of publications related to anaesthetic techniques in cardiac catheterization laboratories is substantial. We aim to summarize the most recent evidence about outcomes related to type of anaesthetic in minimally invasive cardiac procedures.

Recent findings: The latest studies, primarily focused on transcatheter aortic valve replacement (TAVR) and transcatheter mitral valve repair (TMVr), demonstrate the need for reliable monitoring and appropriate training of the interdisciplinary teams involved in this high-risk NORA setting.

Summary: Inappropriate sedation and concurrent inadequate oxygenation are main risk factors for claims involving NORA care. Current evidence deriving from TAVR shows that monitored anaesthesia care (MAC) is associated with shorter length of stay and lower mortality.

导管实验室微创心脏手术的麻醉。
综述目的:在非手术室麻醉(NORA)环境下进行的心脏手术的份额继续快速增长,与心导管实验室麻醉技术相关的出版物数量也相当可观。我们的目的是总结关于微创心脏手术中麻醉类型相关结果的最新证据。最近的发现:最新的研究主要集中在经导管主动脉瓣置换术(TAVR)和经导管二尖瓣修复术(TMVr)上,表明在这种高风险的NORA环境中,需要可靠的监测和适当的跨学科团队培训。总结:不适当的镇静和同时的缺氧是涉及NORA护理索赔的主要危险因素。目前来自TAVR的证据表明,监测麻醉护理(MAC)与较短的住院时间和较低的死亡率有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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