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KMID : 0368120200500010001
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Korean Circulation Journal
2020 Volume.50 No. 1 p.1 ~ p.11
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Monitored Anesthesia Care for Cardiovascular Interventions
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Song Jong-Wook
Soh Sa-Rah
Shim Jae-Kwang
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Abstract
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The interventional cardiology is growing and evolving. Many complex procedures are now performed outside the operating room to manage cardiovascular pathologies which had been traditionally treated with cardiac surgery. Appropriate sedation strategy is crucial for improved patient comfort and successful procedure while ensuring safety. Sedation for cardiovascular intervention is frequently challenging, especially in critically-ill, high-risk patients. This review addresses pre-procedure evaluation and preparation of patients, proper monitoring, commonly used sedatives and analgesics, and considerations for specific procedures. Appropriate depth of sedation and analgesia should be balanced with patient, procedural and institutional factors. Understanding of the pharmacology of sedatives/analgesics, vigilant monitoring, ability and proper preparation for management of potential complications may improve outcomes in patients undergoing sedation for cardiovascular procedures.
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KEYWORD
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Sedation, Cardiovascular interventions, Monitored anesthesia care
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