Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Feb 2013
Multicenter Study Comparative StudyAnesthesia for transfemoral aortic valve replacement in North America and Europe.
The purpose of this study was to determine how the anesthestic approach to transcatheter aortic valve replacement (TAVR) differs in North America and Europe. ⋯ General anesthesia is the predominant practice in North America and only 5% use sedation for TAVR cases, whereas sedation is more common in Europe.
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J. Cardiothorac. Vasc. Anesth. · Feb 2013
ReviewThe year in cardiothoracic and vascular anesthesia: selected highlights from 2012.
Cardiothoracic and vascular critical care has emerged as a subspecialty due to procedural breakthroughs, an aging population, and a multidisciplinary collaboration. This subspecialty now has a dedicated professional society, recently published guidelines, and plans for standardized certification. This paradigm shift represents a major collaboration opportunity for our specialty. ⋯ Major recent trials in comparative effectiveness have challenged the advantages of percutaneous coronary intervention, off-pump coronary artery bypass surgery, and intra-aortic balloon counterpulsation. The year 2012 has witnessed the emergence of new paradigms of care in our specialty with the emphasis on teamwork, safety, and quality. These processes will further improve perioperative outcome.