Anaesthesia for minimally invasive cardiac procedures in the catheterization lab

Reid, Catherine; Meineri, Massimiliano; Riva, Thomas; Pilgrim, Thomas; Räber, Lorenz; Luedi, Markus M.

doi:10.1097/aco.0000000000001007

Cited by 2 publications

(2 citation statements)

References 61 publications

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“…There is a clear consensus for general anesthesia in the pediatric population, even for diagnostic imaging [48 ▪▪ ]. Knowledge of the presence of cardiovascular disease and its impact on daily life and upper/lower respiratory tract infections is essential [49 ▪ ]. Renal function testing, blood grouping, and cross-matching need to be conducted.…”

Section: Retinoblastomamentioning

confidence: 99%

Anesthesia care in the interventional neuroradiology suite: an update

Bello

Paisansathan

Riva

et al. 2022

Current Opinion in Anaesthesiology

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Purpose of reviewThe scope of procedures conducted by neurointerventionalists is expanding quickly, with lacking consensus over the best anesthesia modality. Although the procedures involve all age groups, the interventions may be complex and lengthy and may be provided in hospitals currently not yet familiar with the field. Here we review current literature addressing elective outpatient neurointerventional procedures and aim to provide an update on the management of intervention-specific crises, address special patient populations, and provide key learning points for everyday use in the neurointerventional radiology suite. Recent findingsVarious studies have compared the use of different anesthesia modalities and preinterventional and postinterventional care. Monitored anesthesia care is generally recommended for elderly patients, whereas children are preferably treated with general anesthesia. Additional local anesthesia is beneficial for procedures, such as percutaneous kyphoplasty and vascular access.

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Section: Retinoblastomamentioning

confidence: 99%

Anesthesia care in the interventional neuroradiology suite: an update

Bello

Paisansathan

Riva

et al. 2022

Current Opinion in Anaesthesiology

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“…Sedation, a type of anesthesia, has seen escalating utilization across various surgical procedures, particularly those involving minimally invasive techniques and catheterization, such as transcatheter aortic valve replacement (TAVR), transcatheter left atrial appendage closure, and endovascular thrombectomy [ 1 – 3 ]. Sedation frequently plays an integral part in enhanced recovery after surgery (ERAS) protocols, designed to minimize the reliance on general anesthesia (GA), especially in critically ill patients.…”

Section: Introductionmentioning

confidence: 99%

Sedation versus general anesthesia on all-cause mortality in patients undergoing percutaneous procedures: a systematic review and meta-analysis

Su,

Zhao,

Zhang

et al. 2024

BMC Anesthesiol

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Background The comparison between sedation and general anesthesia (GA) in terms of all-cause mortality remains a subject of ongoing debate. The primary objective of our study was to investigate the impact of GA and sedation on all-cause mortality in order to provide clarity on this controversial topic. Methods A systematic review and meta-analysis were conducted, incorporating cohort studies and RCTs about postoperative all-cause mortality. Comprehensive searches were performed in the PubMed, EMBASE, and Cochrane Library databases, with the search period extending until February 28, 2023. Two independent reviewers extracted the relevant information, including the number of deaths, survivals, and risk effect values at various time points following surgery, and these data were subsequently pooled and analyzed using a random effects model. Results A total of 58 studies were included in the analysis, with a majority focusing on endovascular surgery. The findings of our analysis indicated that, overall, and in most subgroup analyses, sedation exhibited superiority over GA in terms of in-hospital and 30-day mortality. However, no significant difference was observed in subgroup analyses specific to cerebrovascular surgery. About 90-day mortality, the majority of studies centered around cerebrovascular surgery. Although the overall pooled results showed a difference between sedation and GA, no distinction was observed between the pooled ORs and the subgroup analyses based on RCTs and matched cohort studies. For one-year all-cause mortality, all included studies focused on cardiac and macrovascular surgery. No difference was found between the HRs and the results derived from RCTs and matched cohort studies. Conclusions The results suggested a potential superiority of sedation over GA, particularly in the context of cardiac and macrovascular surgery, mitigating the risk of in-hospital and 30-day death. However, for the longer postoperative periods, this difference remains uncertain. Trial registration PROSPERO CRD42023399151; registered 24 February 2023.

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Anaesthesia for minimally invasive cardiac procedures in the catheterization lab

Cited by 2 publications

References 61 publications

Anesthesia care in the interventional neuroradiology suite: an update

Anesthesia care in the interventional neuroradiology suite: an update

Sedation versus general anesthesia on all-cause mortality in patients undergoing percutaneous procedures: a systematic review and meta-analysis

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