Anesthesia for structural heart interventions

Cardiol Clin. 2013 Aug;31(3):455-65. doi: 10.1016/j.ccl.2013.04.005.

Abstract

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.

Keywords: Anesthesiology; Catheter-based techniques; Complications; Monitoring; Practice standards; Sedation.

Publication types

  • Review

MeSH terms

  • Ambulatory Surgical Procedures / methods
  • Ambulatory Surgical Procedures / standards
  • Anesthesia / adverse effects
  • Anesthesia / methods*
  • Anesthesia / standards
  • Antiemetics / adverse effects
  • Capnography
  • Catheter Ablation / adverse effects
  • Catheter Ablation / standards
  • Deep Sedation / methods
  • Deep Sedation / standards
  • Device Removal
  • Electric Countershock / methods
  • Ethanol / therapeutic use
  • Fasting / physiology
  • Heart Diseases / surgery*
  • Humans
  • Intraoperative Complications / prevention & control
  • Muscle Relaxants, Central / adverse effects
  • Oxygen / administration & dosage
  • Pacemaker, Artificial
  • Patient Safety
  • Physical Examination
  • Practice Patterns, Physicians' / standards*
  • Preoperative Care / methods
  • Preoperative Care / standards
  • Prosthesis Implantation / methods
  • Radiation Protection / methods
  • Radiation Protection / standards
  • Respiratory System Agents / adverse effects
  • Sclerosing Solutions / therapeutic use
  • Sclerotherapy / methods

Substances

  • Antiemetics
  • Muscle Relaxants, Central
  • Respiratory System Agents
  • Sclerosing Solutions
  • Ethanol
  • Oxygen