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August 11, 2023MedicineOpen Access

Anesthesia management of patients undergoing thoracic endovascular aortic repair: A retrospective analysis of single center

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Key result

Fast-track anesthesia in patients undergoing TEVAR was associated with a shorter length of stay in the ICU (21.0 vs 24.0 hours; P=0.005) and postoperative hospital stay (5.0 vs 6.0 days; P=0.001).

Why the study?

Fast-track anesthesia with early extubation had not been assessed in patients undergoing thoracic endovascular aortic repair.

Does fast-track anesthesia reduce ICU and hospital length of stay in adult patients undergoing thoracic endovascular aortic repair?

Population

204 adult patients receiving general anesthesia for TEVAR at a single center

Comparison

Fast-track anesthesia vs non-fast-track anesthesia

Design

Single-center retrospective study

Authors

YLYing-chun LiuYSYanting SunYYYun-tai Yao

Discussion

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Member takes

Overview

Should not yet change TEVAR anesthesia practice; leaves open confirmation in randomized trials.

Study Design

Type

Cohort (n=204)

Multicenter

No

Structured PICO

Does fast-track anesthesia reduce ICU and hospital length of stay in adult patients undergoing thoracic endovascular aortic repair?

P
Population
204 adult patients undergoing thoracic endovascular aortic repair under general anesthesia, evaluated for fast-track anesthesia outcomes.
E
Exposure
Fast-track anesthesia with early extubation
C
Comparator
Standard anesthesia without early extubation
O
Outcome
Length of stay (LOS) in the intensive care unit (ICU) and postoperative LOS in the hospital

Main Result

Absolute Event Rate: 21% vs 24%

p-value: p=0.005

Fast-track anesthesia with early extubation is feasible, safe, and associated with significantly shorter ICU and hospital lengths of stay in patients undergoing thoracic endovascular aortic repair.

Cite This Study

Liu et al. (2023) conducted a cohort in Thoracic endovascular aortic repair (TEVAR) (n=204). Fast-track anesthesia vs. Standard anesthesia (non-fast-track) was evaluated on Length of stay in ICU (hours) (p=0.005). Fast-track anesthesia in patients undergoing TEVAR was associated with a shorter length of stay in the ICU (21.0 vs 24.0 hours; P=0.005) and postoperative hospital stay (5.0 vs 6.0 days; P=0.001).

synapsesocial.com/papers/6a9846ca2b5b2a1696e18f28https://doi.org/10.1097/md.0000000000034508
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Short and Midterm Outcomes of Local Versus General Anesthesia for Non-Emergency Thoracic Endovascular Repair in Acute Type B Aortic Dissection2026
  2. 2Anesthesia Strategy and Clinical Outcomes in Ruptured Aortic Aneurysm Repair: Insights from EVAR and TEVAR2026
  3. 3Predictors of In-hospital and Short-term Outcomes of Thoracic Endovascular Aortic Repair for Aortic Aneurysm and Aortic Syndrome: A Single-Center Experience2024
  4. 4Anesthetic Management and Perioperative Complications in Endovascular Interventions: The Turkish Experience2015
  5. 5A standard experiment with emergency endovascular interventions on the descending thoracic aorta2023