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Review
. 2023 Nov 15;10(11):462.
doi: 10.3390/jcdd10110462.

Anaesthesia for Minimally Invasive Cardiac Surgery

Daniel Aston  1 , Daniel Zeloof  1 , Florian Falter  1
Affiliations
Review

Anaesthesia for Minimally Invasive Cardiac Surgery

Daniel Aston et al. J Cardiovasc Dev Dis. .

Abstract

Minimally invasive cardiac surgery (MICS) has been used since the 1990s and encompasses a wide range of techniques that lack full sternotomy, including valve and coronary artery graft surgery as well as transcatheter procedures. Due to the potential benefits offered to patients by MICS, these procedures are becoming more common. Unique anaesthetic knowledge and skills are required to overcome the specific challenges presented by MICS, including mastery of transoesophageal echocardiography (TOE) and the provision of thoracic regional analgesia. This review evaluates the relevance of MICS to the anaesthetist and discusses pre-operative assessment, the relevant adjustments to intra-operative conduct that are necessary for these techniques, as well as post-operative care and what is known about outcomes.

Keywords: anaesthesiology; cardiac surgery; minimal access; minimally invasive.

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Conflict of interest statement

The authors declare no conflict of interest.

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