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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Main Authors: Daniel Aston, Daniel Zeloof, Florian Falter
Format: Article
Language:English
Published: MDPI AG 2023-11-01
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.
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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