Journal article
Conversion from Monitored Anesthesia Care to General Anesthesia for Transcatheter Aortic Valve Replacement
Journal of cardiothoracic and vascular anesthesia, Vol.32(2), pp.1032-1040
04/2018
DOI: 10.1053/j.jvca.2017.05.015
PMID: 29336966
Abstract
Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure that has supplanted surgical aortic valve replacement (SAVR) as treatment of choice for many patients with aortic stenosis (AS). 1 While TAVR in the United States was once performed routinely under general anesthesia (GA), improvements in valve technology and experience have led some to use monitored anesthesia care (MAC), which has been associated with decreases in intensive care unit (ICU) length of stay (LOS), hospital LOS, and mortality. 2 However, this less-invasive anesthetic is not without drawbacks, as some centers that have switched to MAC have experienced complications, including conversion rates to GA as high as 17%. 3 The authors’ institution recently adopted a MAC for TAVR protocol after having prior experience with GA for these procedures. In this report, the authors summarize three cases of conversion from MAC to GA, review the causative events, and discuss the impact of anesthetic management on patient outcome.
Details
- Title: Subtitle
- Conversion from Monitored Anesthesia Care to General Anesthesia for Transcatheter Aortic Valve Replacement
- Creators
- Joseph Kimmel - Department of Anesthesiology, Perioperative Care & Pain Medicine, NYU Langone Medical Center, New York, NYRyan Potosky - Department of Anesthesiology, Perioperative Care & Pain Medicine, NYU Langone Medical Center, New York, NYMathew R Williams - Department of Cardiothoracic Surgery, NYU Langone Medical Center, New York, NYMatthew Glading - Department of Anesthesiology, Perioperative Care & Pain Medicine, NYU Langone Medical Center, New York, NYPeter J Neuburger - Department of Anesthesiology, Perioperative Care & Pain Medicine, NYU Langone Medical Center, New York, NYJ. Devin Roberts - Department of Anesthesia and Critical Care, University of Chicago, Chicago, ILAndrew Feider - Department of Anesthesia, University of Iowa Carver College of Medicine, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- Journal of cardiothoracic and vascular anesthesia, Vol.32(2), pp.1032-1040
- Publisher
- Elsevier Inc
- DOI
- 10.1053/j.jvca.2017.05.015
- PMID
- 29336966
- ISSN
- 1053-0770
- eISSN
- 1532-8422
- Language
- English
- Date published
- 04/2018
- Academic Unit
- Anesthesia
- Record Identifier
- 9984007295202771
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