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Review
. 2021 Aug 1;34(4):437-442.
doi: 10.1097/ACO.0000000000001007.

Anaesthesia for minimally invasive cardiac procedures in the catheterization lab

Catherine Reid  1 , Massimiliano Meineri  2 , Thomas Riva  1 , Thomas Pilgrim  3 , Lorenz Räber  4 , Markus M Luedi  1
Affiliations
Review

Anaesthesia for minimally invasive cardiac procedures in the catheterization lab

Catherine Reid et al. Curr Opin Anaesthesiol. .

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.

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References

    1. Chang B, Kaye AD, Diaz JH, et al. Interventional procedures outside of the operating room: results from the National Anesthesia Clinical Outcomes Registry. J Patient Saf 2018; 14:9–16.
    1. Metzner J, Posner KL, Domino KB. The risk and safety of anesthesia at remote locations: the US closed claims analysis. Curr Opin Anaesthesiol 2009; 22:502–508.
    1. Elgamal H, Luedi MM, Ender JK, Meineri M. Preoperative management of anticoagulation in the surgical patient: highlights of the latest guidelines. Best Pract Res Clin Anaesthesiol 2020; 34:141–152.
    1. Mihalj M, Carrel T, Gregoric ID, et al. Telemedicine for preoperative assessment during a COVID-19 pandemic: recommendations for clinical care. Best Pract Res Clin Anaesthesiol 2020; 34:345–351.
    1. Luedi MM, Urman RD. Preoperative patient evaluation: challenges and opportunities. Best Pract Res Clin Anaesthesiol 2020; 34:129–130.

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