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Curr Opin Anaesthesiol · Aug 2021
ReviewAnaesthesia for minimally invasive cardiac procedures in the catheterization lab.
- Catherine Reid, Massimiliano Meineri, Thomas Riva, Thomas Pilgrim, Lorenz Räber, and Markus M Luedi.
- Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
- Curr Opin Anaesthesiol. 2021 Aug 1; 34 (4): 437-442.
Purpose Of ReviewThe 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 FindingsThe 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.SummaryInappropriate 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.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
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