Sharma Avijit, Trigo-Blanco Paula, Oprea Adriana D
Anesthesiology, Yale School of Medicine, New Haven, USA.
Anesthesiology, Southern New Hampshire Medical Center, Nashua, USA.
Cureus. 2020 Feb 28;12(2):e7132. doi: 10.7759/cureus.7132.
As the population ages, ventricular assist devices (VADs) are becoming more prevalent, even in the outpatient perioperative setting. Patients with VADs present unique challenges for the anesthesiologist, who needs to have a thorough understanding of device physiology and design an appropriate anesthetic plan. This case report demonstrates an alternative monitored anesthesia care (MAC) anesthetic technique for a patient with a left VAD undergoing total thyroidectomy. This alternative provided a safe comfortable anesthetic and can be used successfully in patients with circulatory support devices.
随着人口老龄化，心室辅助装置（VAD）越来越普遍，即使在门诊围手术期也是如此。VAD患者给麻醉医生带来了独特的挑战，麻醉医生需要全面了解装置的生理学知识并制定合适的麻醉计划。本病例报告展示了一种用于接受全甲状腺切除术的左心室辅助装置患者的替代监测麻醉护理（MAC）麻醉技术。这种替代方法提供了一种安全舒适的麻醉，并且可以成功应用于使用循环支持装置的患者。
