Kardioanästhesie: anästhesiologisches Management

Abstract

The anaesthesiological management of patients scheduled for cardiac surgery has been refined distinctively over the last decade due to different reasons. The continuing growth of the elderly patient population and the increasing number of combined cardiac surgery procedures in octogenarians on the one hand are one aspect. The rapid development of minimally invasive cardiac surgery and the enhancements in mechanical, artificial heart assist devices on the other hand can be seen as additional decisive factors. All of these innovations in the field of cardiac surgery implicate further enhancements regarding the anaesthesiological management. This review article addresses the following subareas of cardiac anaesthesia: significance of pharmacological myocardial protection, anaesthetic management during cardiopulmonary bypass, importance of "Enhanced Recovery After Cardiac Surgery"-protocols as well as innovations in the field of minimally invasive cardiac surgery like transcatheter aortic valve implantation.

Postoperative management of patients undergoing cardiac surgery in Austria

“…This lack in manpower or insufficient training may partly be explained by technical and medical progress as in Italy in 2013 [ 5 ] all centers had a 24h availability of an experienced user. This survey confirms once more the importance of this technique in the care of patients following cardiac surgery [ 14 ].…”

Satisfacción posanestésica en pacientes sometidos a cirugía cardíaca

“…La cirugía cardíaca en el Ecuador ha evolucionado a procedimientos cada vez más complejos a partir del 2015, distintas ciudades han perfeccionado sus hospitales y a sus profesionales con el propósito de brindar mejor servicio a los usuarios con dolencias que requieren tratamientos quirúrgicos cardíacos. El manejo anestésico de los procedimientos cardíacos requiere un conocimiento sólido y especializado que ha sido perfeccionado durante los últimos diez años debido a factores como grupos etarios más longevos y procedimientos mínimamente invasivos (1,2).…”