Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Jul 2020
ReviewAnesthetic Considerations for Transcatheter Tricuspid Valve Repair.
The development of transcatheter approaches for heart valve repair and replacement procedures have revolutionized the field of structural cardiology and cardiac anesthesiology. With the recently reported benefits of transcatheter mitral repair procedures, there has been increasing focus on transcatheter tricuspid repair technologies. Currently, there are multiple transcatheter tricuspid repair devices that are undergoing feasibility testing, and each device has its own unique procedural considerations. This review discusses the anesthetic management of transcatheter tricuspid repair by describing the causes of tricuspid regurgitation, the currently available transcatheter tricuspid repair devices, the procedural considerations relevant to the cardiac anesthesiologist, and pearls for proper intraprocedural image guidance via transesophageal echocardiography.
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J. Cardiothorac. Vasc. Anesth. · Jul 2020
Antinausea Protocol Reduces Hospital Length of Stay for Laparoscopic Nissen Fundoplication.
The perioperative course of patients undergoing laparoscopic Nissen fundoplication (LNF) was reviewed to determine whether the use of a new treatment protocol consisting of total intravenous anesthesia (TIVA) plus triple antiemetic therapy was associated with shorter hospital length of stay (HLOS). ⋯ The use of TIVA in patients undergoing uncomplicated LNF shortens HLOS and is associated with reduced cost of care. This study illustrates that communication among surgeons and anesthesiologists results in improved patient care.
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J. Cardiothorac. Vasc. Anesth. · Jul 2020
Observational StudyAcute Kidney Injury and Postoperative Atrial Fibrillation In Patients Undergoing Cardiac Surgery.
To test the hypothesis that acute kidney injury (AKI) in the postoperative period could be an additional risk factor for the development of atrial fibrillation (AF) and to examine the risk factors for postoperative AF in the authors' cohort of patients. ⋯ This analysis of a large, contemporary cohort of patients identifies postoperative AKI as an associated risk factor for postoperative AF, along with other perioperative variables. Early identification of this patient cohort would allow targeted preventative treatment to reduce the incidence of postoperative AF.