989 ANAESTHESIOLOGICAL MANAGEMENT IN PATIENTS UNDERGOING TEER: A NEW APPROACH IMPROVES CV OUTCOMES
نویسندگان
چکیده
Abstract Background Transcatheter edge-to-edge repair (TEER) with the MitraClip system is an alternative procedure for treatment of severe mitral regurgitation (MR) in high-risk patients who are not suitable conventional surgery and usually performed under general anaesthesia (GA). GA may be associated potential haemodynamic complications. A new approach deep sedation (DS) spontaneous breathing using a target-controlled infusion (TCI). The aim this study to compare TCI during DS manual administration total intravenous (TIVA) undergoing TEER evaluating impact these approaches on time, remifentanil dose administered, profile, vasopressor requirements, adverse events postoperative hospital stay. Methods population included 90 consecutive treated (mean age 73.5 ± 9.54 years). 65 (72%) suffered from functional MR. Mean LVEF was 35 13% logistic EuroSCORE 23 19%. 24 received TIVA; 66 underwent TCI, consisting midazolam fentanyl citrate as induction followed by continuous hydrochloride. Results Acute procedural success 100%, no major complications procedure. No statistical differences were found between GA-TIVA DS-TCI group terms demographics surgical risk profile. Anaesthesia time significantly shorter (71 30 vs. 118 minutes; p < 0.0001), duration (54 29 99 74 = 0.00007). In addition, there significant reduction administered (249 µg 2865 µg, 0.01), incidence hypotension (p 0.08) need vasopressors (29.6% 63%, 0.03) group. There days stay after (5.4 5.8 days, 0.4). Conclusions could valid which can ensure stable anaesthetic conditions, less drug administration, higher stability fewer side effects, particular advantages at high anaesthesia.
منابع مشابه
The LMACTrach, a new approach for endotracheal intubation: Apilot study in 100 patients undergoing elective surgery
AbstractBackgroundand endotracheal intubation under direct vision in both anticipated and unexpecteddifficult intubation situations.: The LMA CTrach system is a new device for airway managementMethodsdifferent types of elective surgeries. After randomly selecting the patients for intubationwith this new device, the airway characteristics, height, weight, dental overbiteand thyromental distance ...
متن کاملthe lmactrach, a new approach for endotracheal intubation: apilot study in 100 patients undergoing elective surgery
abstractbackgroundand endotracheal intubation under direct vision in both anticipated and unexpecteddifficult intubation situations.: the lma ctrach system is a new device for airway managementmethodsdifferent types of elective surgeries. after randomly selecting the patients for intubationwith this new device, the airway characteristics, height, weight, dental overbiteand thyromental distance ...
متن کاملAnterior approach in THA improves outcomes: affirms.
In general, the literature makes numerous positive claims regarding the direct anterior approach with a fracture table for total hip arthroplasty (THA), including quicker recovery and return to unassisted ambulation, along with reduced soft tissue damage, surgery time, pain, and risk of dislocation with early elimination of hip precautions. The benefits of the direct anterior approach are mostl...
متن کاملThoracic epidural anesthesia improves outcomes in patients undergoing cardiac surgery: meta-analysis of randomized controlled trials
To assess the efficacy of thoracic epidural anesthesia (TEA) with or without general anesthesia (GA) versus GA in patients who underwent cardiac surgery, PubMed, Embase, the Cochrane online database, and Web of Science were searched with the limit of randomized controlled trials (RCTs) relevant to 'thoracic epidural anesthesia' and 'cardiac surgery'. Studies were identified and data were extrac...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: European Heart Journal Supplements
سال: 2022
ISSN: ['1520-765X', '1554-2815']
DOI: https://doi.org/10.1093/eurheartjsupp/suac121.368