Evolution of anaesthesia in transapical aortic valve implantation Running head: Anaesthesia and transcatheter valve
Journal Title: International Journal of Clinical Anesthesia and Research - Year 2017, Vol 1, Issue 1
Abstract
The Transcatheter Aortic Valve Implantation (TAVI) had emerged more and more in the last twenty years. According to the scientific literature, this is an approved, suitable and alternative therapeutic choice to conventional surgery for aortic valve disease in high risk patients. The most of patients are octogenarians or nonagenarians, with multiple comorbidities (neurological,vascular,oncologic, haematological, etc). The evolution of TAVI techniques and its devices have improved the quality of results and reduced the peri- and post-procedural complications. Cardiac anaesthesia and analgesia in TAVI patients is very important and fundamental to a quickly and complete clinical restoring after the procedure. An optimal balance of drugs and peri-procedural management could reduce the neurological events (such as delirium), the days of hospitalization and the admission of intensive care unit. According to our experience in transapical approach, the low dose of propofol and desflurane allowed to optimal cardiac anaesthesia and rapid mechanical ventilation weaning in complex patient undergone to transcatheter valve implantation with transapical approach. Moreover, our protocol reduced considerably the incidence of perioperative delirium.
Authors and Affiliations
Marzia Cottini, Lappa A, Donfrancesco S, Francesco Musumeci
Keywords
Related Articles
- EP ID EP559783
- DOI 10.29328/journal.hacr.1001003
- Views 42
- Downloads 0
Submitral Ventricular Pseudoaneurysm: Unusual and Late Complication of Cardiac Surgery
Despite the background of advances in cardiac surgery procedures for higher risk population, the postoperative complication has already been a challenge for cardiac surgeon and Heart-Team. Future perspectives to exceed t...
Endovascular treatment of complex cerebral arterial saccular aneurysms with different methods of coiling: 14 years of experience review
The Objective: to improve the treatment results for patients with cerebral arterial saccular aneurysms by optimizing of differentiated approach to the using of endovascular assisting occlusion techniques.
The incidence of hemodynamic and respiratory adverse events in morbidly obese presenting for Bariatric surgery
Context: Perioperative management of morbidly obese patients undergoing bariatric surgery is challenging. Lacking standardized perioperative protocols, complication rates may be high. This retrospective study aims to qua...
Effects of intraoperative epidural anesthesia during hepatectomy on intraoperative and post-operative patient outcomes
Objective: The objective of this study was to evaluate the effects of intraoperative epidural anesthesia combined with balanced general anesthesia on intraoperative hemodynamics and fluid requirement, and on postoperativ...
Low vision due to persistent Cloquet’s canal
The Cloquet’s canal (CC) is the remnant of the primary vitreous and it disappears in the intrauterine developmental period of an eye. Rarely it can persist in mature eyes and cause low visual acuity. We detected a persis...