Optimizing Anesthesia Care in TAVR Patients: A Case Report and Review of Literature against Indian Scenario
Amruta Datye *
Chief Intensivist Sevasadan Lifeline Superspeciality Hospital, Miraj (SSLSH), India.
Ravikant Patil
Department of Cardiology, SSLSH, Miraj, India.
*Author to whom correspondence should be addressed.
Abstract
TAVR has now been accepted across the globe as a standard treatment in management of severe AS. The procedure got simpler over past two decades with newer and advanced generation valves and deployment techniques. Similarly, with evolved anesthesia techniques, peri-operative optimization and adoption of minimalist approach has considerably reduced the complications, shorten the stay and reduced all-cause morbidity and morbidity.
India has seen surge in patients undergoing TAVR after first procedure in 2011. However, various factors economic, physician learning curve, demography seem to a play role in widespread adoption of this form of treatment.
Keywords: TAVR, peri-operative, optimizing anesthesia, conscious sedation