Key result
Nurse-led sedation for minimalist TAVR shows similar conversion to general anesthesia versus anesthesia-led sedation.
Why the study?
The clinical and echocardiographic outcomes of nurse-led sedation compared to anesthesia-led sedation in minimalist TAVR patients were not well established.
Does nurse-led sedation provide similar clinical and echocardiographic outcomes compared to anesthesia-led sedation in patients undergoing minimalist TAVR?
Comparison
Nurse-led sedation vs anesthesia-led sedation
Design
Propensity-matched cohort study
Follow-up
1 year
Authors
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NLS may support efficient sedation in selected TAVR patients; leaves open confirmation of safety and outcomes in prospective or broader populations.
Cohort (n=650)
No
Does nurse-led sedation provide similar clinical and echocardiographic outcomes compared to anesthesia-led sedation in patients undergoing minimalist TAVR?
Absolute Event Rate: 2.2% vs 0.8%
p-value: p=0.22
Nurse-led sedation for minimalist TAVR appears safe and yields similar clinical outcomes to anesthesia-led sedation, while being associated with shorter procedure times and lower contrast volume.
Keegan et al. (2020) conducted a cohort in Minimalist TAVR (n=650). Nurse-led sedation vs. Anesthesia-led sedation was evaluated on Conversion to general anesthesia (p=0.22). Nurse-led sedation for minimalist TAVR resulted in similar rates of conversion to general anesthesia compared to anesthesia-led sedation (2.2% vs 0.8%, p=0.22).
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