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Titolo:
Special features of anesthesia in minimally invasive heart surgery
Autore:
Kessler, P; Lischke, V; Westphal, K;
Indirizzi:
Univ Frankfurt, Klin Anasthesiol Intens Med & Schmerztherapie, D-60590 Frankfurt, Germany Univ Frankfurt Frankfurt Germany D-60590 pie, D-60590 Frankfurt, Germany
Titolo Testata:
ANAESTHESIST
fascicolo: 7, volume: 49, anno: 2000,
pagine: 592 - 608
SICI:
0003-2417(200007)49:7<592:SFOAIM>2.0.ZU;2-#
Fonte:
ISI
Lingua:
GER
Soggetto:
CORONARY-ARTERY BYPASS; ACCESS CARDIAC-SURGERY; THORACIC EPIDURAL-ANESTHESIA; MITRAL-VALVE SURGERY; DIRECT MYOCARDIAL REVASCULARIZATION; PORT-ACCESS; CARDIOPULMONARY BYPASS; EXTRACORPOREAL-CIRCULATION; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; BEATING HEART;
Keywords:
minimally-invasive cardiac surgery; port-access technique; off-pump coronary artery surgery; anesthetic management;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
122
Recensione:
Indirizzi per estratti:
Indirizzo: Kessler, P Univ Frankfurt, Klin Anasthesiol Intens Med & Schmerztherapie, Theodorsternkai 7, D-60590 Frankfurt, Germany Univ Frankfurt Theodorsternkai 7 Frankfurt Germany D-60590 any
Citazione:
P. Kessler et al., "Special features of anesthesia in minimally invasive heart surgery", ANAESTHESIS, 49(7), 2000, pp. 592-608

Abstract

When heart-lung machines made extracorporeal circulation possible in the fifties, cardiac surgeons gained virtually unrestricted access to the resting, motionless heart. Valve repair and reconstruction, in particular, made great progress as a result of extra corporeal circulation. While the distinct advantages of extracorporeal circulation for cardiosurgery remain undisputed, awareness of the significant perioperative risks of extracorporeal circulation for the patient has been increasing in recent years. This has leadto an interest in alternative cardiosurgical techniques avoiding extracorporeal circulation. Inspired by minimally-invasive procedures in abdominal surgery, cardiosurgical instruments as well as surgical techniques of accessto the heart and large thoracic vessels were systematically modified leading to today's minimally-invasive cardiosurgical procedures such as off-pumpcoronary artery bypass grafting on the bearing heart. Similarly, in the field of cardiacvalve repair, new cannulation techniques for instituting extracorporeal circulation make median sternotomy unnecessary. The developmentsdescribed above have lead to the recent introduction of robot-assisted techniques with or without extracorporeal circulation,which are expected to make possible in the near future the performance of the whole range of cardiosurgical procedures with minimal surgical trauma. The introduction of the new techniques has changed the intraoperative responsibilities of the anesthesiologist. The present article will therefore describe both the new surgical techniques as well as the new tasks required of the anesthesiologist, in particular with regard to cannulation and monitoring. Since a number of terms in minimally-invasive cardiosurgery are not precisely defined, a clear description of the various surgical techniques isalso provided.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/09/20 alle ore 18:14:30