Anaesthesia for Minimally Invasive Cardiac Surgery.
Daniel AstonDaniel ZeloofFlorian FalterPublished in: Journal of cardiovascular development and disease (2023)
Minimally invasive cardiac surgery (MICS) has been used since the 1990s and encompasses a wide range of techniques that lack full sternotomy, including valve and coronary artery graft surgery as well as transcatheter procedures. Due to the potential benefits offered to patients by MICS, these procedures are becoming more common. Unique anaesthetic knowledge and skills are required to overcome the specific challenges presented by MICS, including mastery of transoesophageal echocardiography (TOE) and the provision of thoracic regional analgesia. This review evaluates the relevance of MICS to the anaesthetist and discusses pre-operative assessment, the relevant adjustments to intra-operative conduct that are necessary for these techniques, as well as post-operative care and what is known about outcomes.
Keyphrases
- minimally invasive
- cardiac surgery
- coronary artery
- acute kidney injury
- healthcare
- end stage renal disease
- palliative care
- robot assisted
- ejection fraction
- chronic kidney disease
- newly diagnosed
- pulmonary artery
- pain management
- prognostic factors
- aortic valve
- pulmonary hypertension
- left ventricular
- spinal cord
- aortic stenosis
- quality improvement
- heart failure
- ultrasound guided
- skeletal muscle
- metabolic syndrome
- aortic valve replacement
- atrial fibrillation
- patient reported outcomes
- acute coronary syndrome
- affordable care act