Anaesthesia for minimally invasive cardiac procedures in the catheterization lab

Reid, Catherine; Meineri, Massimiliano; Riva, Thomas; Pilgrim, Thomas; Räber, Lorenz; Luedi, Markus M. (2021). Anaesthesia for minimally invasive cardiac procedures in the catheterization lab. Current opinion in anaesthesiology, 34(4), pp. 437-442. Lippincott Williams & Wilkins 10.1097/ACO.0000000000001007

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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 procedural sedation is associated with shorter length of stay and lower mortality.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Reid, Catherine Sharman, Riva, Thomas, Räber, Lorenz, Lüdi, Markus

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0952-7907

Publisher:

Lippincott Williams & Wilkins

Language:

English

Submitter:

Jeannie Wurz

Date Deposited:

17 Jun 2021 14:36

Last Modified:

02 Mar 2023 23:34

Publisher DOI:

10.1097/ACO.0000000000001007

BORIS DOI:

10.48350/156465

URI:

https://boris.unibe.ch/id/eprint/156465

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