Local Anesthetic As Safe As General Anesthetic for TAVR

Share this content:
Local Anesthetic As Safe As General Anesthetic for TAVR
Local Anesthetic As Safe As General Anesthetic for TAVR

MONDAY, Nov. 21, 2016 (HealthDay News) -- For patients undergoing transcatheter aortic valve replacement (TAVR), local anesthetic (LA) is as safe as general anesthetic (GA), with shorter procedure time and number of days in the hospital, according to a study published in the Dec. 1 issue of The American Journal of Cardiology.

Avais Jabbar, M.B.B.S., from the Freeman Hospital in Newcastle Upon Tyne, U.K., and colleagues described their experience in patients undergoing TAVR under LA who were subsequently transferred to a low dependency unit. Overall, 145 patients had the TAVR procedure under GA and 71 under LA.

The researchers found that the procedure time, as measured from time in room to skin closure, was significantly shorter in the LA group (108 versus 143 minutes; P < 0.001). Skin open to skin closure time did not differ between the groups (78 versus 79.4 minutes; P = 0.57). No differences were seen between the groups in 30-day: aortic regurgitation > mild (P = 0.67), need for permanent pacing (P = 0.32), and disabling cerebrovascular accidents (P = 1.0). There was no significant difference in 30-day survival (95.9 percent in GA versus 100 percent in LA; P = 0.17), while the LA group had a significantly shorter number of days in the hospital (two, versus four in the GA group; P < 0.001). The LA group had no emergency conversions to GA; only one patient required admission to a high dependency unit.

"In conclusion, performing a TAVR under LA is at least as safe as GA," the authors write.

Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions



Sign up for myCME e-newsletters


More in Home

Belimumab Aids Anti-dsDNA, Hypocomplementemic Lupus

Belimumab Aids Anti-dsDNA&#43;, Hypocomplementemic Lupus

More SLE Responder Index responders at week 52 in the belimumab group versus the placebo group

Too Few Adults Taking Epilepsy Meds Have Seizure Control

Too Few Adults Taking Epilepsy Meds Have Seizure ...

Ninety percent of those with active epilepsy take meds; 44 percent of those report seizure control

Pediatric Exposures to Liquid Nicotine Down From 2015 to 2016

Pediatric Exposures to Liquid Nicotine Down From 2015 ...

Still poses serious risk to children; decrease likely in part to law requiring child-resistant packaging

is free, fast, and customized just for you!

Already a member?

Sign In Now »