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.
Abstract
The development and implementation of the hybrid operating theatre over the last decade
is one of the most innovative advancements in the field of medical interdisciplinary
treatment options. The hybrid operating theatre allows the combination of minimally
invasive surgery and interventional procedures using the benefits of modern imaging
technologies. Therefore, it will be of increasing interest for different kinds of
surgical disciplines in the future. In Germany, the hybrid operating theatre is mainly
used in the field of transcatheter based heart valve procedures and in the field of
vascular surgery cooperating with interventional radiology. Managing this special
patient population is a highly challenging task for all players in this setting, especially
for the cardiac surgeon, the cardiologist, and the anaesthesiologist. Only close interdisciplinary
cooperation ensures optimal treatment. The impact of recent developments in the field
of transcatheter based heart valve procedures on anaesthesia management will be addressed
in this article.
Schlüsselwörter
Hybrid-OP - Anästhesie - Analgosedierung - Transkatheter-Herzklappenimplantation -
Aortenklappenstenose - Echokardiografie
Keywords
hybrid operating theatre - anaesthesia - conscious sedation - general anaesthesia
- transcatheter valve implantation - echocardiography
