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Sedation versus general anesthesia for transcatheter aortic valve replacement
Keita Sato1, Philip M Jones1,2
1Department of Anesthesia & Perioperative Medicine, University of Western Ontario, London, ON, Canada.
Journal of Thoracic Disease
|December 4, 2018
Summary
Anesthesia management for transcatheter aortic valve replacement (TAVR) is debated. This review clarifies general anesthesia (GA) versus moderate sedation, examines current data, and identifies future research needs for TAVR anesthesia.
Area of Science:
- Cardiology
- Anesthesiology
- Medical Devices
Background:
- Transcatheter aortic valve replacement (TAVR) is a growing procedure.
- Anesthesia management for TAVR remains controversial.
- Institutions vary in their primary use of general anesthesia (GA) or moderate sedation.
Purpose of the Study:
- To define differences between GA and moderate sedation in TAVR.
- To review existing evidence on TAVR anesthesia techniques.
- To identify key questions for future research in TAVR anesthesia.
Main Methods:
- Literature review of current TAVR anesthesia data.
- Comparative analysis of general anesthesia and moderate sedation.
- Discussion of evidence limitations and research priorities.
Main Results:
- Significant controversy exists regarding optimal TAVR anesthesia.
- Limited evidence currently informs the choice between GA and sedation.
- Strong pre-conceived notions influence current practice.
Conclusions:
- Further research is needed to establish best practices for TAVR anesthesia.
- Clarifying the evidence base will help resolve current controversies.
- Future studies should prioritize direct comparisons of anesthesia techniques.
Keywords:
Sedationgeneral anesthesia (GA)local anesthesiatranscatheter aortic valve implantationtranscatheter aortic valve replacement (TAVR)More Related Videos
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