Anestezi Yönetimi

Özet

Girişimsel kardiyoloji, koroner arter hastalığı, yapısal kalp hastalıkları ve ritim bozukluklarının tedavisinde kullanılan minimal invaziv teknikleri içerir. Bu işlemler sırasında anestezi, hasta konforunu sağlamak ve işlem başarısını artırmak için hayati öneme sahiptir. Girişimsel kardiyoloji işlemlerinde anestezi yönetimi, hastanın genel sağlık durumu, işlem türü ve süresi, kullanılan anestezi türü ve monitörizasyon gereksinimleri gibi birçok faktörü dikkate alarak planlanmalıdır
Ameliyathane dışı anestezi uygulamalarında sedasyon, genel anestezi, rejyonal anestezi ve hasta kontrollü sedasyon gibi çeşitli teknikler tercih edilmektedir. Sedasyon, bu alanın en yaygın tercih edilen anestezi tekniği olarak öne çıkmaktadır.
Girişimsel kardiyoloji alanında anestezi uygulamaları, tedavi süreçlerinde önemli bir yere sahiptir. Anestezistler, özellikle kardiyak kateterizasyon gibi karmaşık işlemlerde, operatörlerin dikkatini tamamen işlemlere verebilmeleri için gerekli sedasyon ve analjeziyi sağlamaktadır. Bu süreçte hemodinamik stabiliteyi korumak ve olası komplikasyonları yönetmek gibi önemli görevler üstlenirler.

Interventional cardiology includes minimally invasive techniques used in the treatment of coronary artery disease, structural heart diseases, and arrhythmias. During these procedures, anesthesia is crucial for ensuring patient comfort and increasing the success of the procedure. Anesthesia management in interventional cardiology procedures should be planned by considering many factors such as the patient's general health status, the type and duration of the procedure, the type of anesthesia used, and monitoring requirements.
In non-operating room anesthesia applications, various techniques such as sedation, general anesthesia, regional anesthesia, and patient-controlled sedation are preferred. Sedation stands out as the most commonly preferred anesthesia technique in this field.
Anesthesia applications in the field of interventional cardiology play an important role in treatment processes. Anesthesiologists provide the necessary sedation and analgesia, especially in complex procedures like cardiac catheterization, allowing operators to focus entirely on the procedures. They undertake important tasks such as maintaining hemodynamic stability and managing potential complications during this process.

Referanslar

Haas S, Richter HP, Kubitz JC. Anesthesia during cardiologic procedures. Current Opinion in Anesthesiology. 2009;22(4):519-23.

Çeğin M, Soyoral L, Yüzkat N, Kılıç M, Kurt N, Göktaş U. Ameliyathane dışı anestezi uygulamalarımız: 528 hastanın değerlendirilmesi. Journal of Clinical and Experimental Investigations. 2015;6(2):150-3.

İyilikçi L, Çakmak Ş, Ögdül E, Candüz B, BOYACI F, Özdemir E, et al. Ameliyathane dışı anestezi uygulamalarında deneyimlerimiz. Türk Anestezi ve Reanimasyon Dergisi. 2006;34(3):169-76.

Eagle KA, Berger PB, Calkins H, Chaitman BR, Ewy GA, Fleischmann KE, et al. ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery—executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Journal of the American College of Cardiology. 2002;39(3):542-53.

Türk HŞ, Aybey F, Ünsal O, Açık ME, Ediz N, Oba S. Ameliyathane dışı anestezi deneyimlerimiz. Şişli Etfal Hastanesi Tıp Bülteni. 2013;47(1):5-10.

Cavaliere F. Interventional Cardiology: The Role of the Anesthesiologist. Practical Issues Updates in Anesthesia and Intensive Care. 2015:149-55.

Ökesli S, Işık B, Erdost UDHA. Ameliyathane Dışı Anestezi Uygulamaları.

Mazurek MS, editor Sedation and analgesia for procedures outside the operating room. Seminars in Pediatric Surgery; 2004: Elsevier.

Ussia GP, Barbanti M, Tamburino C. Feasibility of percutaneous transcatheter mitral valve repair with the MitraClip® system using conscious sedation. Catheterization and Cardiovascular Interventions. 2010;75(7):1137-40.

Armoiry X, Brochet É, Lefevre T, Guerin P, Dumonteil N, Himbert D, et al. Initial French experience of percutaneous mitral valve repair with the MitraClip: a multicentre national registry. Archives of cardiovascular diseases. 2013;106(5):287-94.

by Non-Anesthesiologists A. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002;96(4):1004-17.

Souter KJ, Davies JM. Diversification and specialization in anesthesia outside the operating room. Current Opinion in Anesthesiology. 2012;25(4):450-2.

SIAARTI LG. Recommendations for anesthesia and sedation in nonoperating room locations. Minerva Anestesiologica. 2005;71:11-20.

Metzner J, Domino KB. Risks of anesthesia or sedation outside the operating room: the role of the anesthesia care provider. Current Opinion in Anesthesiology. 2010;23(4):523-31.

Dehédin B, Guinot P-G, Ibrahim H, Allou N, Provenchère S, Dilly M-P, et al. Anesthesia and perioperative management of patients who undergo transfemoral transcatheter aortic valve implantation: an observational study of general versus local/regional anesthesia in 125 consecutive patients. Journal of cardiothoracic and vascular anesthesia. 2011;25(6):1036-43.

Guinot P-G, Depoix J-P, Etchegoyen L, Benbara A, Provenchère S, Dilly M-P, et al. Anesthesia and perioperative management of patients undergoing transcatheter aortic valve implantation: analysis of 90 consecutive patients with focus on perioperative complications. Journal of cardiothoracic and vascular anesthesia. 2010;24(5):752-61.

Marshall SI, Chung F. Discharge criteria and complications after ambulatory surgery. Anesthesia & Analgesia. 1999;88(3):508-17.

JA A. The post-anesthesia recovery score revisited. J Clin Anesth. 1995;7:89-91.

Referanslar

Haas S, Richter HP, Kubitz JC. Anesthesia during cardiologic procedures. Current Opinion in Anesthesiology. 2009;22(4):519-23.

Çeğin M, Soyoral L, Yüzkat N, Kılıç M, Kurt N, Göktaş U. Ameliyathane dışı anestezi uygulamalarımız: 528 hastanın değerlendirilmesi. Journal of Clinical and Experimental Investigations. 2015;6(2):150-3.

İyilikçi L, Çakmak Ş, Ögdül E, Candüz B, BOYACI F, Özdemir E, et al. Ameliyathane dışı anestezi uygulamalarında deneyimlerimiz. Türk Anestezi ve Reanimasyon Dergisi. 2006;34(3):169-76.

Eagle KA, Berger PB, Calkins H, Chaitman BR, Ewy GA, Fleischmann KE, et al. ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery—executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Journal of the American College of Cardiology. 2002;39(3):542-53.

Türk HŞ, Aybey F, Ünsal O, Açık ME, Ediz N, Oba S. Ameliyathane dışı anestezi deneyimlerimiz. Şişli Etfal Hastanesi Tıp Bülteni. 2013;47(1):5-10.

Cavaliere F. Interventional Cardiology: The Role of the Anesthesiologist. Practical Issues Updates in Anesthesia and Intensive Care. 2015:149-55.

Ökesli S, Işık B, Erdost UDHA. Ameliyathane Dışı Anestezi Uygulamaları.

Mazurek MS, editor Sedation and analgesia for procedures outside the operating room. Seminars in Pediatric Surgery; 2004: Elsevier.

Ussia GP, Barbanti M, Tamburino C. Feasibility of percutaneous transcatheter mitral valve repair with the MitraClip® system using conscious sedation. Catheterization and Cardiovascular Interventions. 2010;75(7):1137-40.

Armoiry X, Brochet É, Lefevre T, Guerin P, Dumonteil N, Himbert D, et al. Initial French experience of percutaneous mitral valve repair with the MitraClip: a multicentre national registry. Archives of cardiovascular diseases. 2013;106(5):287-94.

by Non-Anesthesiologists A. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002;96(4):1004-17.

Souter KJ, Davies JM. Diversification and specialization in anesthesia outside the operating room. Current Opinion in Anesthesiology. 2012;25(4):450-2.

SIAARTI LG. Recommendations for anesthesia and sedation in nonoperating room locations. Minerva Anestesiologica. 2005;71:11-20.

Metzner J, Domino KB. Risks of anesthesia or sedation outside the operating room: the role of the anesthesia care provider. Current Opinion in Anesthesiology. 2010;23(4):523-31.

Dehédin B, Guinot P-G, Ibrahim H, Allou N, Provenchère S, Dilly M-P, et al. Anesthesia and perioperative management of patients who undergo transfemoral transcatheter aortic valve implantation: an observational study of general versus local/regional anesthesia in 125 consecutive patients. Journal of cardiothoracic and vascular anesthesia. 2011;25(6):1036-43.

Guinot P-G, Depoix J-P, Etchegoyen L, Benbara A, Provenchère S, Dilly M-P, et al. Anesthesia and perioperative management of patients undergoing transcatheter aortic valve implantation: analysis of 90 consecutive patients with focus on perioperative complications. Journal of cardiothoracic and vascular anesthesia. 2010;24(5):752-61.

Marshall SI, Chung F. Discharge criteria and complications after ambulatory surgery. Anesthesia & Analgesia. 1999;88(3):508-17.

JA A. The post-anesthesia recovery score revisited. J Clin Anesth. 1995;7:89-91.

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11 Eylül 2024

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