作者: Rajka Gabelica , Mario Pavlek , Zeljko Colak , Mirabel Mazar , Gordana Rajsman
关键词: Anesthetic 、 Interventional cardiology 、 Percutaneous 、 Medicine 、 Valve replacement 、 Anesthesia 、 Cardiac resynchronization therapy 、 Atrial septal defects 、 Sedation 、 Heart failure
摘要: Anesthesia management for interventional procedures in cardiology becomes increasingly demanding due to growing number and complexity of these procedures. Anesthesiologists are assuming an important role the multidisciplinary planning management. A comprehensive understanding each procedure is essential ensure a reasonable plan anesthesia, monitoring, venous access additional equipment required. skilful anesthetic critical maintaining stable hemodynamic rapidly managing any complications that may occur during procedure. Cardiac anesthesiologists University Hospital Center Zagreb provide anesthesia for: percutaneous closure atrial septal defects PDA, transcatheter aortic valve replacement, thoracic endovascular aortic/aneurysm repair, implantation pacemakers, cardiac resynchronization therapy pacemaker automatic implantable cardioverter defibrillators, electrophysiological studies Harmony System treatment heart failure patients. 1,2 Anesthetic ranged from sedation full general with invasive monitoring other modalities such as transesophageal echocardiography. As be lengthy, potential exists instability significant blood loss, endotracheal intubation commonly performed. In our hospital, spite use echocardiography, device defect children accomplished deep spontaneous ventilation. Therefore, vigilant by staff necessary The importance technician huge value safe challenging environment. conclusion, it clearly evident well-prepared experienced anesthesiologist, responsible high level care, has integral part team obtain optimal outcome