Ramachandran Gopinath, Sundar Ayya Syama, Venugopal Vijish, Shah Hetalkumar D, Dogra Neeti
Department of Anaesthesiology, ESIC Medical College, Sanath Nagar, Hyderabad, Telangana, India.
Department of Anaesthesiology, All India Institute of Medical Sciences Bibinagar, Yadadri Bhuvanagiri District, Telangana, India.
Indian J Anaesth. 2023 Jan;67(1):78-84. doi: 10.4103/ija.ija_972_22. Epub 2023 Jan 21.
The speciality of cardiac anaesthesia has rapidly evolved over the past few decades with advances in technology, including artificial intelligence (AI), newer devices, techniques, imaging, pain relief and a better understanding of the pathophysiology of disease states. Incorporation of the same has led to improved patient outcomes in terms of morbidity and mortality benefits. With the advent of minimally invasive surgical methods, minimising the dose of opioids and ultrasound-guided regional anaesthesia for pain relief, enhanced recovery after cardiac surgery has been made possible. Perioperative imaging including 3D transoesophageal echocardiography, newer devices and drugs and AI algorithms will play a significant role in cardiac anaesthesia. This review briefly addresses some of the recent advances that the authors believe can impact the practice of cardiac anaesthesia.
在过去几十年中,随着技术的进步,包括人工智能(AI)、新型设备、技术、成像、疼痛缓解以及对疾病状态病理生理学的更好理解,心脏麻醉专业迅速发展。这些技术的融合已在发病率和死亡率方面带来益处,从而改善了患者预后。随着微创手术方法的出现、阿片类药物剂量的最小化以及用于疼痛缓解的超声引导区域麻醉,心脏手术后的加速康复成为可能。围手术期成像,包括三维经食管超声心动图、新型设备和药物以及人工智能算法,将在心脏麻醉中发挥重要作用。本综述简要介绍了作者认为可能影响心脏麻醉实践的一些最新进展。