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革新心脏麻醉:对手术室之外当代方法的全面综述

Revolutionizing Cardiac Anesthesia: A Comprehensive Review of Contemporary Approaches Outside the Operating Room.

作者信息

Durai Samy Nandha Kumar, Taksande Karuna

机构信息

Anaesthesiology, Jawaharlal Nehru Medical College, Wardha, IND.

出版信息

Cureus. 2024 Mar 5;16(3):e55611. doi: 10.7759/cureus.55611. eCollection 2024 Mar.

Abstract

This review article provides a comprehensive examination of the evolution of cardiac anesthesia, emphasizing contemporary approaches beyond the traditional operating room (OR) setting. Tracing the historical roots of cardiac anesthesia from its inception in the mid-20th century, the narrative explores the significant paradigm shift driven by technological advancements and changing procedural approaches. The review highlights the emergence of non-OR environments, such as hybrid operating rooms, catheterization laboratories, and electrophysiology labs, as integral spaces for cardiac interventions. Key findings underscore the importance of patient selection, preoperative assessment, and specialized anesthetic management in optimizing outcomes. Implications for the future of cardiac anesthesia include the potential for enhanced patient-centered care, reduced complications, and improved resource utilization through the integration of advanced technologies. The call to action involves encouraging ongoing research and fostering collaboration among healthcare professionals to refine protocols further, address challenges, and propel the field toward continued innovation in contemporary cardiac interventions.

摘要

这篇综述文章全面审视了心脏麻醉的发展历程,着重介绍了传统手术室(OR)环境之外的当代方法。文章追溯了心脏麻醉自20世纪中叶诞生以来的历史根源,探讨了由技术进步和不断变化的手术方式所驱动的重大范式转变。该综述强调了非手术室环境的出现,如杂交手术室、导管室和电生理实验室,作为心脏介入不可或缺的场所。主要研究结果强调了患者选择、术前评估和专业麻醉管理在优化治疗效果方面的重要性。心脏麻醉未来的发展方向包括通过整合先进技术实现以患者为中心的护理、减少并发症以及提高资源利用效率。行动呼吁包括鼓励持续研究,并促进医疗专业人员之间的合作,以进一步完善方案、应对挑战,并推动该领域在当代心脏介入中持续创新。

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