Recent advances in cardiac anaesthesia

Sundar, AyyaSyama; Ramachandran, Gopinath; Venugopal, Vijish; Shah, HetalkumarD; Dogra, Neeti

doi:10.4103/ija.ija_972_22

Cited by 4 publications

(7 citation statements)

References 27 publications

(33 reference statements)

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“…Furthermore, truly noninvasive assessments of cardiac output, facilitated by innovative methods using a blood pressure cuff, represent a significant stride forward [16]. Artificial intelligence (AI) has emerged as a transformative force in anesthesia, ushering in novel approaches to patient care, real-time monitoring, and data-driven decision-making [17,18]. Integrating AI algorithms into the field promises to enhance precision and efficiency, ultimately optimizing anesthesia administration and patient outcomes.…”

Section: Historical Perspective On Out-of-or Cardiac Proceduresmentioning

confidence: 99%

Revolutionizing Cardiac Anesthesia: A Comprehensive Review of Contemporary Approaches Outside the Operating Room

Durai Samy,

Taksande

2024

Cureus

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This review article provides a comprehensive examination of the evolution of cardiac anesthesia, emphasizing contemporary approaches beyond the traditional operating room (OR) setting. Tracing the historical roots of cardiac anesthesia from its inception in the mid-20th century, the narrative explores the significant paradigm shift driven by technological advancements and changing procedural approaches. The review highlights the emergence of non-OR environments, such as hybrid operating rooms, catheterization laboratories, and electrophysiology labs, as integral spaces for cardiac interventions. Key findings underscore the importance of patient selection, preoperative assessment, and specialized anesthetic management in optimizing outcomes. Implications for the future of cardiac anesthesia include the potential for enhanced patient-centered care, reduced complications, and improved resource utilization through the integration of advanced technologies. The call to action involves encouraging ongoing research and fostering collaboration among healthcare professionals to refine protocols further, address challenges, and propel the field toward continued innovation in contemporary cardiac interventions.

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Section: Historical Perspective On Out-of-or Cardiac Proceduresmentioning

confidence: 99%

Revolutionizing Cardiac Anesthesia: A Comprehensive Review of Contemporary Approaches Outside the Operating Room

Durai Samy,

Taksande

2024

Cureus

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“…Artificial intelligence is the science that allows computerized machines to learn from data collected to solve problems, make decisions, and do tasks that require human intelligence [110,111 ▪ ]. The machine's processor uses complex algorithms to learn from the data collected, predict events, make a diagnosis, and recommend treatment [7 ▪▪ ,11,108,109,110,111 ▪ ]. Predicting HDI opened a new avenue in HDM of critically ill patients [11,13,18].…”

Section: Artificial Intelligence In Hemodynamic Monitoringmentioning

confidence: 99%

“…Major limitations of TEE include lack of adequate training and the fact that it is operator-dependent with the possibility of misinterpretation of the data and wrong treatment [4 ▪▪ ,105,108,109,111 ▪ ,113]. Despite limitations and possible risks, TEE is indispensable in managing sudden HDI and cardiac arrest and should always be on standby (rTEE).…”

Section: Transesophageal Echocardiographymentioning

confidence: 99%

“…Artificial intelligence was first introduced into echocardiography in 1978 to help diagnose mitral valve prolapse [109]. The fact that TEE is operator-dependent makes the integration of artificial intelligence into TEE of paramount importance [4 ▪▪ ,108,109,111 ▪ ]. Artificial intelligence can help train anesthesiologists with limited experience in TEE by helping them take images, accurately interpret them, correctly take measurements such as CO or ejection fraction, and accurately assess cardiac valves [4 ▪▪ ,108,109,111 ▪ ].…”

Section: Artificial Intelligence In Hemodynamic Monitoringmentioning

confidence: 99%

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Hemodynamic monitoring in liver transplantation ‘the hemodynamic system’

Kandil,

Sedra

2023

Current Opinion in Organ Transplantation

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Purpose of review The purpose of this article is to provide a comprehensive review of hemodynamic monitoring in liver transplantation. Recent findings Radial arterial blood pressure monitoring underestimates the aortic root arterial blood pressure and causes excessive vasopressor and worse outcomes. Brachial and femoral artery monitoring is well tolerated and should be considered in critically ill patients expected to be on high dose pressors. The pulmonary artery catheter is the gold standard of hemodynamic monitoring and is still widely used in liver transplantation; however, it is a highly invasive monitor with potential for serious complications and most of its data can be obtained by other less invasive monitors. Rescue transesophageal echocardiography relies on few simple views and should be available as a standby to manage sudden hemodynamic instability. Risk of esophageal bleeding from transesophageal echocardiography in liver transplantation is the same as in other patient populations. The arterial pulse waveform analysis based cardiac output devices are minimally invasive and have the advantage of real-time beat to beat monitoring of cardiac output. No hemodynamic monitor can improve clinical outcomes unless integrated into a goal-directed hemodynamic therapy. The hemodynamic monitoring technique should be tailored to the patient's medical status, surgical technique, and the anesthesiologist's level of expertise. Summary The current article provides a review of the current hemodynamic monitoring systems and their integration in goal-directed hemodynamic therapy.

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“…Cardiac anaesthesia has its share of advancements with the growing application of regional nerve blocks, artificial intelligence (AI) including perioperative echocardiography, and evolving anaesthetic strategies for minimally invasive cardiac surgery. [ 17 ] The intraoperative use of imaging, the resurgence of ketamine, regional anaesthesia in neurosurgery, the management of awake brain and spine surgery, anaesthesia for functional neurosurgery, and neurological malignancies are some major advances in neuroanaesthesia. [ 18 ] The speciality of critical care is now being revolutionised by the fast-expanding indications of POCUS, newer tools in functional haemodynamic monitoring, use of biomarkers in diagnosis and therapy, analgosedation, the comeback of colloids such as albumin, newer modes of mechanical circulatory and respiratory support and newer antimicrobials.…”

mentioning

confidence: 99%