Hypercapnia during transcatheter aortic valve replacement under monitored anaesthesia care: a retrospective cohort study.
Tzonghuei ChenShyamal AsherPatricia ApruzzeseHarry Owusu-DapaahGustavo GonzalezAndrew MaslowPublished in: Open heart (2024)
Transient significant hypercapnia commonly occurs during transfemoral TAVR with deep sedation using propofol and dexmedetomidine. Although the incidence of postoperative outcomes does not appear to be affected by hypercapnia, the need for vasopressors and inotropes is increased. If deep sedation is required for TAVR, hypercapnia and the need for haemodynamic and ventilatory support should be anticipated.
Keyphrases
- transcatheter aortic valve replacement
- aortic stenosis
- aortic valve
- aortic valve replacement
- transcatheter aortic valve implantation
- healthcare
- palliative care
- mechanical ventilation
- risk factors
- quality improvement
- cardiac surgery
- metabolic syndrome
- pain management
- type diabetes
- subarachnoid hemorrhage
- acute kidney injury
- coronary artery disease
- adipose tissue
- insulin resistance
- health insurance
- affordable care act
- glycemic control
- blood brain barrier