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首页> 外文期刊>Current opinion in anaesthesiology >Recent advances in nonoperating room anesthesia for cardiac procedures
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Recent advances in nonoperating room anesthesia for cardiac procedures

机译：非手术室内麻醉剂的最新进展

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Purpose of review The number of complex procedures performed in the cardiac catheterization laboratory (CCL) is rapidly increasing. Because of their complexity, they frequently require the assistance of an anesthesiologist. The CCL is primarily designed to facilitate a percutaneous cardiac intervention; therefore, it might be a challenging workplace for an anesthesiologist. The aim of this review is to briefly present tasks and challenges of providing anesthesia in the CCL and to provide a concise description of common cardiac procedures performed there. Recent findings Recent literature indicates that many complicated cardiac procedures can be performed in CCL under monitored anesthesia care. At the same time several of them (e.g. transcatheter aortic valve replacement) are quickly becoming a viable alternative for surgical valve replacement. The most recent expansion of CCL procedures is related to rapidly growing population of grown-ups with congenital heart disease. All aforementioned developments present new challenges to an anesthesiologist. New and fast development of percutaneous cardiac interventions has created a new working place for the anesthesiologist - the CCL. Our expertise in complex cardiac pathophysiology allows conduct of complicated procedures outside of the operating theater. For the same reasons, there is ongoing discussion whether anesthesia support in CCL should be provided by a general or cardiac anesthesiologist.
机译：审查心脏导管型实验室（CCL）中的复杂程序数量迅速增加。由于他们的复杂性，他们经常需要麻醉师的帮助。 CCL主要旨在促进经皮心脏干预;因此，这可能是一种充满麻醉师的挑战性工作场所。本综述的目的是简要介绍在CCL中提供麻醉的任务和挑战，并提供在那里进行的普通心脏手术的简明描述。最近的发现最近的文献表明许多复杂的心脏手术可以在CCL下进行监测的麻醉护理。与此同时，其中几种（例如经齿轮管主动脉瓣膜更换）迅速成为手术瓣膜置换的可行替代品。 CCL程序的最新扩张与先天性心脏病的迅速增长的成年人患者有关。所有上述事态发展都对麻醉师提供了新的挑战。经皮心脏干预的新的和快速发展已经为麻醉师创造了一个新的工作场所 - CCL。我们在复杂的心脏病物理学中的专业知识允许在操作剧院之外进行复杂的程序。出于同样的原因，正在进行讨论CCL中的麻醉支持是否应由一般或心脏麻醉师提供。

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