Objective and method. To research the alteration of pulmonary flow spectrum of patients with congenital heart disease and the relation between pulmonary flow spectrum and pulmonary artery pr...Objective and method. To research the alteration of pulmonary flow spectrum of patients with congenital heart disease and the relation between pulmonary flow spectrum and pulmonary artery pressure, 33 patients with congenital heart disease were examined by echocardiography and catheterization. Results. The result showed that the spectrum peak early occurring in patients with pulmonary hypertension and the degree of the spectrum peak early occurring was related to pulmonary artery pressure positively. The result suggested that when the pulmonary artery systolic pressure was over 100 mmHg, the flow spectrum showed slender pattern usually. Conclusion. The slender pattern in pulmonary flow spectrum could be a semi quantity parameter to predict that the pulmonary artery systolic pressure more than 100 mmHg.展开更多
Objective： Transcatheter aortic valve implantation （TAVI） is a minimally invasive therapy for elderly patients with severe aortic valve stenosis who were refused surgical aortic valve replacement because of the hig...Objective： Transcatheter aortic valve implantation （TAVI） is a minimally invasive therapy for elderly patients with severe aortic valve stenosis who were refused surgical aortic valve replacement because of the high perioperative risk. Traditionally, this procedure has been done under general anesthesia, but more recently local anesthesia and sedation have become popular. This research assessed the effectiveness of transfemoral TAVI under bispectral index （BIS）-guided sedation. Methods： In this single-center retrospective control analysis, clinical data, including demographic characteristics, echocardiography, periprocedural data, and main complications, were collected and assessed in 113 patients undergoing TAVI through the femoral artery under general anesthesia （GA group, n=36） and under BIS-guided sedation （SED group, n=77）. Results： The demographic characteristics and echocardi-ographic parameters between the two groups were similar （P〉0.05）. Two （2.6%） of patients were moved from BIS-guided sedation to general anesthesia for surgical reasons. Procedures were significantly shorter in the SED group than in the GA group （（127.10±44.43） min vs. （165.90±71.62） min, P=0.004）. Patients in the SED group lost less blood and received significantly fewer red blood cells and catecholamines than those in the GA group （5.19% vs. 22.22%, P=0.017 and 67.53% vs. 97.22%, P〈0.001）. The length of hospital stay was significantly shorter and there were fewer pulmonary complications in the SED group than in the GA group. Thirty-day mortality was similar between the two groups. Conclusions： BIS-guided sedation is a feasible and safe approach for transfemoral TAVl. The anes- thesiologist should choose the best anesthetic method according to the team＇s experience.展开更多
文摘Objective and method. To research the alteration of pulmonary flow spectrum of patients with congenital heart disease and the relation between pulmonary flow spectrum and pulmonary artery pressure, 33 patients with congenital heart disease were examined by echocardiography and catheterization. Results. The result showed that the spectrum peak early occurring in patients with pulmonary hypertension and the degree of the spectrum peak early occurring was related to pulmonary artery pressure positively. The result suggested that when the pulmonary artery systolic pressure was over 100 mmHg, the flow spectrum showed slender pattern usually. Conclusion. The slender pattern in pulmonary flow spectrum could be a semi quantity parameter to predict that the pulmonary artery systolic pressure more than 100 mmHg.
文摘Objective： Transcatheter aortic valve implantation （TAVI） is a minimally invasive therapy for elderly patients with severe aortic valve stenosis who were refused surgical aortic valve replacement because of the high perioperative risk. Traditionally, this procedure has been done under general anesthesia, but more recently local anesthesia and sedation have become popular. This research assessed the effectiveness of transfemoral TAVI under bispectral index （BIS）-guided sedation. Methods： In this single-center retrospective control analysis, clinical data, including demographic characteristics, echocardiography, periprocedural data, and main complications, were collected and assessed in 113 patients undergoing TAVI through the femoral artery under general anesthesia （GA group, n=36） and under BIS-guided sedation （SED group, n=77）. Results： The demographic characteristics and echocardi-ographic parameters between the two groups were similar （P〉0.05）. Two （2.6%） of patients were moved from BIS-guided sedation to general anesthesia for surgical reasons. Procedures were significantly shorter in the SED group than in the GA group （（127.10±44.43） min vs. （165.90±71.62） min, P=0.004）. Patients in the SED group lost less blood and received significantly fewer red blood cells and catecholamines than those in the GA group （5.19% vs. 22.22%, P=0.017 and 67.53% vs. 97.22%, P〈0.001）. The length of hospital stay was significantly shorter and there were fewer pulmonary complications in the SED group than in the GA group. Thirty-day mortality was similar between the two groups. Conclusions： BIS-guided sedation is a feasible and safe approach for transfemoral TAVl. The anes- thesiologist should choose the best anesthetic method according to the team＇s experience.
