[转骨TAVI手术中的局部和局部区域麻醉]
Clément Jehl1, Stéphane Sanchez2, Laurent Chapoutot3
1Service de cardiologie, Centre Hospitalier de Troyes, 101 avenue Anatole France, 10000 Troyes, France; Service de cardiologie, Centre Hospitalo-Universitaire de Reims, 51 avenue Cognacq Jay, 51100 Reims, France.
概括
局部麻醉和局部麻醉一样安全和有效,用于输血穿透导管大动脉植入 (TAVI). 这些发现支持在选择的TAVI患者中使用局部麻醉来简化程序.
科学领域:
- 心脏病学 心脏病学
- 麻醉学 麻醉学
- 干预心脏病学 干预心脏病学
背景情况:
- 过导管大动脉植入 (TAVI) 是高风险患者严重大动脉狭窄的主要治疗方法.
- 转骨关节的方法因其简单性和安全性而受到青.
- 麻醉选择对TAVI程序管理产生影响.
研究的目的:
- 为了比较局部麻醉与局部区域麻醉在转移性TAVI中的疗效,安全性和耐受性.
- 评估简化TAVI麻醉方案的可行性.
主要方法:
- 一个单一中心的回顾性研究包括接受 transfemoral TAVI 的患者.
- 两组人群进行了比较:接受局部麻醉的人群和接受局部区域麻醉的人群.
- 评估的结果包括TAVI的成功,死亡率,手术持续时间和药物使用.
主要成果:
- 在麻醉组之间没有观察到TAVI成功率 (92.9%),死亡率 (3.0%) 或手术持续时间的显著差异.
- 在手术内和手术后使用药物 (镇静剂,止痛药,二) 并没有显著差异.
- 局部麻醉组使用Remifentanil的累积剂量明显较低 (p=0.025).
结论:
- 局部和局部区域麻醉在输血膜TAVI中表现出可比的安全性和有效性.
- 局部麻醉可能是选定的TAVI患者的可行选择,可能允许在没有麻醉师的情况下进行"PCI类"方法.
- 简化麻醉方案可以简化管转移TAVI程序.
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