Anaesthesia for Minimally Invasive Cardiac Surgery
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 proced...
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Format: | Article |
Language: | English |
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MDPI AG
2023-11-01
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Series: | Journal of Cardiovascular Development and Disease |
Subjects: | |
Online Access: | https://www.mdpi.com/2308-3425/10/11/462 |
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author | Daniel Aston Daniel Zeloof Florian Falter |
author_facet | Daniel Aston Daniel Zeloof Florian Falter |
author_sort | Daniel Aston |
collection | DOAJ |
description | 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. |
first_indexed | 2024-03-09T16:44:02Z |
format | Article |
id | doaj.art-6d25fa6f97d54ddc91b2b9f38511c383 |
institution | Directory Open Access Journal |
issn | 2308-3425 |
language | English |
last_indexed | 2024-03-09T16:44:02Z |
publishDate | 2023-11-01 |
publisher | MDPI AG |
record_format | Article |
series | Journal of Cardiovascular Development and Disease |
spelling | doaj.art-6d25fa6f97d54ddc91b2b9f38511c3832023-11-24T14:48:52ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252023-11-01101146210.3390/jcdd10110462Anaesthesia for Minimally Invasive Cardiac SurgeryDaniel Aston0Daniel Zeloof1Florian Falter2Department of Anaesthesia and Critical Care, Royal Papworth NHS Foundation Trust, Cambridge Biomedical Campus, Papworth Road, Cambridge CB2 0AY, UKDepartment of Anaesthesia and Critical Care, Royal Papworth NHS Foundation Trust, Cambridge Biomedical Campus, Papworth Road, Cambridge CB2 0AY, UKDepartment of Anaesthesia and Critical Care, Royal Papworth NHS Foundation Trust, Cambridge Biomedical Campus, Papworth Road, Cambridge CB2 0AY, UKMinimally 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.https://www.mdpi.com/2308-3425/10/11/462cardiac surgeryminimally invasiveminimal accessanaesthesiology |
spellingShingle | Daniel Aston Daniel Zeloof Florian Falter Anaesthesia for Minimally Invasive Cardiac Surgery Journal of Cardiovascular Development and Disease cardiac surgery minimally invasive minimal access anaesthesiology |
title | Anaesthesia for Minimally Invasive Cardiac Surgery |
title_full | Anaesthesia for Minimally Invasive Cardiac Surgery |
title_fullStr | Anaesthesia for Minimally Invasive Cardiac Surgery |
title_full_unstemmed | Anaesthesia for Minimally Invasive Cardiac Surgery |
title_short | Anaesthesia for Minimally Invasive Cardiac Surgery |
title_sort | anaesthesia for minimally invasive cardiac surgery |
topic | cardiac surgery minimally invasive minimal access anaesthesiology |
url | https://www.mdpi.com/2308-3425/10/11/462 |
work_keys_str_mv | AT danielaston anaesthesiaforminimallyinvasivecardiacsurgery AT danielzeloof anaesthesiaforminimallyinvasivecardiacsurgery AT florianfalter anaesthesiaforminimallyinvasivecardiacsurgery |