2000年跨导管大动脉植入物中非麻醉师带领的有意识镇静的结果
Annette Maznyczka1, Christine Gill1, Samuel Norman1
1Department of Cardiology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
概括
非麻醉师主导的有意识镇静对于大多数跨导管大动脉置换 (TAVR) 程序是安全的. 这种方法越来越多地使用,在TAVR期间对紧急麻醉支持的需求很低.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 麻醉学 麻醉学
背景情况:
- 跨导管大动脉置换 (TAVR) 程序在全球范围内日益增加.
- 通常采用极简主义的方法,包括有意识的镇静.
- 关于非麻醉师主导的TAVR有意识镇静的安全性的证据有限.
研究的目的:
- 为了评估TAVR的安全性和结果,在非麻醉师主导的有意识镇静下进行TAVR.
- 评估紧急麻醉支持和转换到全身麻醉的速度.
主要方法:
- 连续接受皮肤输血道TAVR的患者的回顾性分析.
- 数据从2018年3月到2025年在一个单一的高容量中心收集.
- 评估30天的结果,包括死亡率和手术成功率.
主要成果:
- 在2854名TAVR患者中,70.1%接受了非麻醉师主导的有意识镇静.
- 这些程序的年份比例从37%上升到81%.
- 2.7%的患者需要紧急麻醉支持;1.2%需要转换为全身麻醉. 30天的死亡率为1.3%.
结论:
- 非麻醉师主导的有意识镇静对于大多数接受 transfemoral TAVR 的患者来说是一个安全的选择.
- 需要紧急麻醉干预的发生率很低.
- 这种镇静方法支持对最小化的TAVR方法的趋势.
相关概念视频
Aneurysm IV: Nursing Management
359
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
359
Cardiac Catheterization IV: Nursing Management
613
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
613
General Anesthesia: Overview
552
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
552
Stages of General Anesthesia
1.4K
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
1.4K


