Anesthesia for structural heart interventions.
Surgeries in general and cardiac procedures in particular are increasingly performed using catheter-based or minimally invasive techniques, often with sedation or general anesthesia. These new approaches require close cooperation and communication between the cardiologist and anesthesiologist to ensure patient safety. Anesthesia-related respiratory complications arising in the catheterization laboratory are more frequent and more severe than are seen in the operating room. The principals of safe anesthetic practice as they apply to procedures performed outside the operating room and suggestions to improve safety and outcome are reviewed in this article.
Department of Anesthesiology, Keck School of Medicine, University of Southern California, Los Angeles, 90033, USA. haddy@med.usc.edu
Steven
S
Haddy
D000556:Ambulatory Surgical Procedures / Q000379:methods / Q000592:standards; D000758:Anesthesia / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D000932:Antiemetics / Q000009:adverse effects; D019296:Capnography; D017115:Catheter Ablation / Q000009:adverse effects / Q000592:standards; D054810:Deep Sedation / Q000379:methods / Q000592:standards; D020878:Device Removal; D004554:Electric Countershock / Q000379:methods; D000431:Ethanol / Q000627:therapeutic use; D005215:Fasting / Q000502:physiology; D006331:Heart Diseases / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D009125:Muscle Relaxants, Central / Q000009:adverse effects; D010100:Oxygen / Q000008:administration & dosage; D010138:Pacemaker, Artificial; D061214:Patient Safety; D010808:Physical Examination; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011300:Preoperative Care / Q000379:methods / Q000592:standards; D019919:Prosthesis Implantation / Q000379:methods; D011835:Radiation Protection / Q000379:methods / Q000592:standards; D019141:Respiratory System Agents / Q000009:adverse effects; D012597:Sclerosing Solutions / Q000627:therapeutic use; D015911:Sclerotherapy / Q000379:methods
D000932:Antiemetics; D009125:Muscle Relaxants, Central; D019141:Respiratory System Agents; D012597:Sclerosing Solutions; D000431:Ethanol; D010100:Oxygen
Anesthesiology; Catheter-based techniques; Complications; Monitoring; Practice standards; Sedation