General anaesthesia or sedation for percutaneous aortic valve implantation? The questionnaire results and authors' experience.
anaesthesia
conversion
transcatheter aortic valve replacement
Journal
Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery
ISSN: 1731-5530
Titre abrégé: Kardiochir Torakochirurgia Pol
Pays: Poland
ID NLM: 101279148
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
26
06
2020
accepted:
24
10
2020
entrez:
8
2
2021
pubmed:
9
2
2021
medline:
9
2
2021
Statut:
ppublish
Résumé
Over the last two decades transcatheter aortic valve replacement (TAVR) has been approved for clinical use. The anaesthetic choice for this procedure is evolving. General anaesthesia was the predominant anaesthetic technique. Growing experience and advances in technology and economic considerations have led to an increasing interest in performing TAVR under monitored sedation. The assessment of monitored sedation, called cooperative sedation, involves pharmacologically mediated suppression of consciousness and preservation of verbal contact in response to stimulation as a safe method of anaesthesia for TAVR. Sixty out of 63 TAVR patients with femoral access received monitored sedation. Dexmedetomidine was administered in most of such cases (46 patients). A questionnaire was also carried out by staff involved in performing TAVR procedures, with more than 5 years of experience in it, concerning the method of anaesthesia and perioperative care. Conversion to general anaesthesia was required in 10% of patients (6 cases), only one as a patient-related complication (hypercarbia). The questionnaire carried out showed that anaesthesia and postoperative care after TAVR are underestimated. The preliminary results regarding anaesthetic management in TAVR procedures demonstrate that monitored sedation is safe, provided that contraindications are observed.
Identifiants
pubmed: 33552184
doi: 10.5114/kitp.2020.102398
pii: 42943
pmc: PMC7848612
doi:
Types de publication
Journal Article
Langues
eng
Pagination
198-202Informations de copyright
Copyright: © 2021 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska).
Déclaration de conflit d'intérêts
The authors report no conflict of interest.
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