OP-Management up2date, Table of Contents OP-Management up2date 2024; 04(02): 137-156DOI: 10.1055/a-2304-9673 IT, Technik und Digitalisierung im OP Anästhesie für Hybrid-Prozeduren Jochen Renner , Berthold Bein Recommend Article Abstract Buy Article All articles of this category Die Einführung des Hybrid-OPs ist eine der innovativsten Entwicklungen im Bereich chirurgischer Behandlungsmethoden. Hybrid-OPs ermöglichen die Kombination minimalinvasiver Chirurgie mit interventionellen Verfahren unter Nutzung modernster Bildgebungstechnologien und werden somit für viele chirurgische Disziplinen in Zukunft von großem Interesse werden. Implikationen für das anästhesiologische Management sollen in diesem Artikel anhand von Herzklappenprozeduren vorgestellt werden. Schlüsselwörter SchlüsselwörterHybrid-OP - Anästhesie - Analgosedierung - Transkatheter-Herzklappenimplantation - Aortenklappenstenose - Echokardiografie Keywords Keywordshybrid operating theatre - anaesthesia - conscious sedation - general anaesthesia - transcatheter valve implantation - echocardiography Full Text References Literatur 1 Gemeinsamer Bundesausschuss (G-BA). Richtlinie zu minimalinvasiven Herzklappenimplantationen. In Kraft getreten 01. April 2022 (Erstfassung 22.01.2015). Accessed February 02, 2023 at: https://www.g-ba.de/richtlinien/84/ 2 Jin H, Lu L, Liu J. et al. A systematic review on the application of the hybrid operating room in surgery: experiences and challenges. Updates Surg 2022; 74: 403-415 3 Lindberg K, Walter L, Raviola E. Performing boundary work: The emergence of a new practice in a hybrid operating room. Soc Sci Med 2017; 182: 81-88 4 Vahanian A, Beyersdorf F, Praz F. et al. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J 2022; 43: 561-632 5 Renner J, Frerker C, Kuck KH. et al. Transkatheter-Aortenklappenimplantation – Was muss der Anästhesist wissen und beachten?. Anasthesiol Intensivmed Notfallmed Schmerzther 2015; 50: 672-681 6 Vipparthy SC, Ravi V, Avula S. et al. Meta-analysis of transcatheter aortic valve implantation versus surgical aortic valve replacement in patients with low surgical risk. Am J Cardiol 2020; 125: 459-468 7 Vigelius-Rauch U, Zajonz T, Sander M. Anästhesiologische Implikationen bei minimalinvasiven Klappeninterventionen. Anaesthesist 2021; 70: 97-111 8 Renner J, Tesdorpf A, Freitag-Wolf S. et al. A retrospective study of conscious sedation versus general anaesthesia in patients scheduled for transfemoral aortic valve implantation: A single center experience. Health Sci Rep 2019; 2: e95 9 Thiele H, Kurz T, Feistritzer HJ. et al. General versus local anesthesia with conscious sedation in transcatheter aortic valve implantation: the randomized SOLVE-TAVI Trial. Circulation 2020; 142: 1437-1447 10 Investigators UTT, Toff WD, Hildick-Smith D. et al. Effect of transcatheter aortic valve implantation vs surgical aortic valve replacement on all-cause mortality in patients with aortic stenosis: a randomized clinical trial. JAMA 2022; 327: 1875-1887 11 Beckmann A, Meyer R, Lewandowski J. et al. German heart surgery report 2021: the annual updated registry of the German Society for Thoracic and Cardiovascular Surgery. Thorac Cardiovasc Surg 2022; 70: 362-376 12 Fried LP, Tangen CM, Walston J. et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001; 56: M146-156 13 Varma PK, Raman SP, Neema PK. Hypertrophic cardiomyopathy part II--anesthetic and surgical considerations. Ann Card Anaesth 2014; 17: 211-221 14 Gopfert M, Groesdonk HV. Echokardiografie – Hämodynamisch fokussierte Echokardiografie. Anasthesiol Intensivmed Notfallmed Schmerzther 2014; 49: 696-705 15 De Backer D, Aissaoui N, Cecconi M. et al. How can assessing hemodynamics help to assess volume status?. Intensive Care Med 2022; 48: 1482-1494 16 Lie SL, Hisdal J, Hoiseth LO. Cerebral blood flow velocity during simultaneous changes in mean arterial pressure and cardiac output in healthy volunteers. Eur J Appl Physiol 2021; 121: 2207-2217 17 Renner J, da Silva N, Francksen H. et al. No sedation versus conscious sedation in patients undergoing Transfemoral Transcatheter Aortic valve implantation. San Diego: The Anesthesiology Annual Meeting; 2021 18 Corl KA, George NR, Romanoff J. et al. Inferior vena cava collapsibility detects fluid responsiveness among spontaneously breathing critically-ill patients. J Crit Care 2017; 41: 130-137 19 Nickenig G, Mohr FW, Kelm M. et al. Konsensus der Deutschen Gesellschaft für Kardiologie – Herz- und Kreislaufforschung – und der Deutschen Gesellschaft für Thorax-, Herz- und Gefäßchirurgie zur Behandlung der Mitralklappeninsuffizienz. Kardiologe 2013; 7: 76-90 20 Mazine A, Friedrich JO, Nedadur R. et al. Systematic review and meta-analysis of chordal replacement versus leaflet resection for posterior mitral leaflet prolapse. J Thorac Cardiovasc Surg 2018; 155: 120-128.e110 21 De Backer O, Wong I, Taramasso M. et al. Transcatheter mitral valve repair: an overview of current and future devices. Open Heart 2021; 8: e001564 22 Evered LA, Chan MTV, Han R. et al. Anaesthetic depth and delirium after major surgery: a randomised clinical trial. Br J Anaesth 2021; 127: 704-712 23 Sorajja P, Moat N, Badhwar V. et al. Initial feasibility study of a new transcatheter mitral prosthesis: the first 100 patients. J Am Coll Cardiol 2019; 73: 1250-1260 24 Aoun J, Reardon MJ, Goel SS. Transcatheter mitral valve replacement: an update. Curr Opin Cardiol 2021; 36: 384-389 25 Muller DWM, Sorajja P, Duncan A. et al. 2-Year outcomes of transcatheter mitral valve replacement in patients with severe symptomatic mitral regurgitation. J Am Coll Cardiol 2021; 78: 1847-1859 26 McInerney A, Marroquin-Donday L, Tirado-Conte G. et al. Transcatheter treatment of mitral regurgitation. J Clin Med 2022; 11 27 Möllmann H, von Bardeleben RS, Dreger H. et al. Trikuspidalklappeninsuffizienz. Kardiologie 2022; 16: 372-382 28 Haurand JM, Kavsur R, Ochs L. et al. Deep sedation vs. general anesthesia for transcatheter tricuspid valve repair. Front Cardiovasc Med 2022; 9: 976822