Monitored anesthesia care with dexmedetomidine in transfemoral percutaneous trans-catheter aortic valve implantation: two cases report

Korean Journal of Anesthesiology 2014년 66권 4호 p.317 ~ p.321

박희선(Park Hee-Sun) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
김경미(Kim Kyung-Mi) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
(Jung Kyoung-Woon) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
최인철(Choi In-Cheol) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
심지연(Sim Ji-Yeon) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine

Abstract

Percutaneous trans-catheter aortic valve implantation (TAVI) is recommended for inoperable patients with severe aortic stenosis at high risk for conventional aortic valve replacement. Originally, TAVI was mostly performed under general anesthesia. Here we describe two cases of transfemoral TAVI performed under monitored anesthesia care (MAC) with dexmedetomidine. Dexmedetomidine provides sedation, analgesia with minimal respiratory depression. Although MAC during transfemoral TAVI has limitations, such as unexpected patient movement and difficulty in intra-procedural use of transesophageal echocardiography, MAC with dexmedetomidine is feasible with close monitoring, fluoroscopic guidance and the participation of experienced anesthesiologists.

키워드

Anesthesia, Dexmedetomidine, Heart valve prosthesis implantation, Hypnotics and Sedatives
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MEDLINE 학술진흥재단(KCI) KoreaMed 대한의학회 회원 
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
Here the two cases describe two cases of transfemoral TAVI performed under monitored anesthesia care (MAC) with dexmedetomidine.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
DOI
KCD코드
ICD 03
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