Key result
Perioperative management of minimally invasive cardiac surgery requires anesthesiologists to be skilled in regional anesthesia, one-lung ventilation, and transesophageal echocardiography.
Why the study?
The transition toward minimally invasive cardiac surgery poses specific perioperative management challenges requiring specialized anesthesiology skillsets.
Anesthesiologists play a key role in minimally invasive cardiac surgery, requiring specialized skills in regional anesthesia, one-lung ventilation, and transesophageal echocardiography.
May warrant enhanced anesthesiology training for minimally invasive cardiac surgery; leaves open prospective validation of protocols.
The transition of cardiac surgery away from the traditional sternotomy approach toward more minimally invasive strategies continues to evolve over time. The first minimally invasive cardiac surgery was performed in 2005 in New York by a team led by Dr. Joseph T. McGinn. Anesthesiologists play in a key role in facilitating optimal outcomes in such procedures. Perioperative management of these patients poses specific challenges to the anesthesia team. The anesthesiologist must be skilled in numerous subspecialty skillsets including regional anesthesia and analgesia techniques, and elements of thoracic anesthesia practice, in particular one-lung ventilation (OLV), cardiac anesthesia, and transesophageal echocardiography.
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Balasubramanyam et al. (2019) conducted a review in Minimally invasive cardiac surgery. Anesthetic management was evaluated. Perioperative management of minimally invasive cardiac surgery requires anesthesiologists to be skilled in regional anesthesia, one-lung ventilation, and transesophageal echocardiography.
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