Anesthesiologist in cardiac catheterization laboratories; the roles and goals!! a postgraduate educational review

Abstract

It is not uncommon to see in developing and underdeveloped countries, where the anesthesiologist who is untrained in cardiac specialty takes care of cardiac catheterization centers. The service in cardiac catheterization laboratories (CCL) in developed countries and some of the developing countries is mainly provided by the cardiac anesthesiologists. The scenario is not same in some part of developing countries or in underdeveloped countries which are mainly due to increase in number of CCL (catheterization laboratory) when compared to the number of cardiac anesthesiologists working outside the operation theater. It is also important for training the postgraduate in this field as to make them capable and competitive in managing such cases during emergency situation as it may save the life of a patient. Many a times, CCL is built as per the need of cardiologist ignoring the basic needs of cardiac anesthesiologist. It is important to note that anesthesiologist should be competent enough to provide complete, integrated anesthetic care outside the operation theater with available resources. It is challenging for the anesthesiologist to provide sedation or general anesthesia in such critical area where he/she will be dealing with life-threatening situations. In the modern era, the interventional techniques are advancing and treating complex heart diseases is more often. Days are not far where the CCL procedures may reduce the requirement of major surgeries. A careful and dedicated approach by the anesthesiologist with thorough knowledge and skills decreases morbidity and mortality rate. This article helps both cardiac and noncardiac anesthesiologists to improve their knowledge and to approach the patient systematically.

Anaesthesia management of coronary artery perforation during Percutaneous Coronary Intervention (PCI)

“…General anaesthesia is usually not required. 5 Various complications can occur during PCI from Longitudinal Stent deformation, Burr entrapment, abrupt stent closure, device embolization and coronary artery perforation. Amongst these, Coronary artery perforation has lowest incidence at 0.2% but highest mortality at 8%.…”

Erratum: Anesthesiologist in catheterization laboratory; the roles and goals!! a postgraduate educational review

“…The article titled “Anesthesiologist in catheterization laboratory; the roles and goals!! A postgraduate educational review”, DOI 10.4103/0259-1162.186866 of Anesthesia: Essays and Researches,[ 1 ] the article title is incorrectly written. The correct title of the article should be read as: Anesthesiologist in cardiac catheterization laboratory; the roles and goals!!…”