Benefits of ultra-fast-track anesthesia in left ventricular assist device implantation: a retrospective, propensity score matched cohort study of a four-year single center experience
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- 作者：Rashad Zayat ; Ares K. Menon ; Andreas Goetzenich…
- 关键词：Fast ; track ; anesthesia ; Left ventricular assist device ; Right ventricular failure ; Postoperative complication
- 刊名：Journal of Cardiothoracic Surgery
- 出版年：2017
- 出版时间：December 2017
- 年：2017
- 卷：12
- 期：1
- 全文大小：815KB
- 刊物主题：Cardiac Surgery; Thoracic Surgery;
- 出版者：BioMed Central
- ISSN：1749-8090
- 卷排序：12
文摘
BackgroundThe use of left ventricular assist devices (LVADs) has gained significant importance for treatment of end-stage heart failure. Fast-track procedures are well established in cardiac surgery, whereas knowledge of their benefits after LVAD implantation is sparse. We hypothesized that ultra-fast-track anesthesia (UFTA) with in-theater extubation or at a maximum of 4 h. after surgery is feasible in Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) level 3 and 4 patients and might prevent postoperative complications.