Key result
Monitored anaesthesia care (MAC) during transcatheter aortic valve replacement is associated with shorter length of stay and lower mortality.
Why the study?
Cardiac procedures in nonoperating room anaesthesia settings are growing rapidly, prompting a need to summarize recent evidence on outcomes related to anaesthetic type in minimally invasive cardiac procedures.
Does monitored anaesthesia care (MAC) improve outcomes such as length of stay and mortality in patients undergoing minimally invasive cardiac procedures like TAVR?
Does monitored anaesthesia care (MAC) improve outcomes such as length of stay and mortality in patients undergoing minimally invasive cardiac procedures like TAVR?
Answers are grounded in this paper and cite their sources.
Monitored anaesthesia care (MAC) during TAVR is associated with improved outcomes, including shorter length of stay and lower mortality, highlighting the importance of appropriate anaesthetic techniques in nonoperating room settings.
PURPOSE OF REVIEW: The share of cardiac procedures performed in settings involving nonoperating room anaesthesia (NORA) continues to grow rapidly, and the number of publications related to anaesthetic techniques in cardiac catheterization laboratories is substantial. We aim to summarize the most recent evidence about outcomes related to type of anaesthetic in minimally invasive cardiac procedures. RECENT FINDINGS: The latest studies, primarily focused on transcatheter aortic valve replacement (TAVR) and transcatheter mitral valve repair (TMVr), demonstrate the need for reliable monitoring and appropriate training of the interdisciplinary teams involved in this high-risk NORA setting. SUMMARY: Inappropriate sedation and concurrent inadequate oxygenation are main risk factors for claims involving NORA care. Current evidence deriving from TAVR shows that monitored anaesthesia care (MAC) is associated with shorter length of stay and lower mortality.
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Reid et al. (2021) conducted a review in Minimally invasive cardiac procedures (TAVR, TMVr). Monitored anaesthesia care (MAC) was evaluated on Length of stay and mortality. Monitored anaesthesia care (MAC) during transcatheter aortic valve replacement is associated with shorter length of stay and lower mortality.
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