Cardiothoracic & vascular anesthesia
The Influence of Audiovisual Distraction on Pain Reduction During Transcatheter Aortic Valve Implantation Under Monitored Anesthesia Care: A Prospective Randomized Trial
Authors' conclusion
Audiovisual distraction is a useful adjunct to reduce the dose of remifentanil under monitored anesthesia care during transcatheter aortic valve implantation.
Study context
- Population
- Patients undergoing transfemoral TAVI under MAC with remifentanil sedation, tertiary referral academic hospital, July 2019–July 2021
- Participants
- 90 patients
- Comparison
- Audiovisual distraction system vs standard care during TAVI under MAC
- Audiovisual distractionn = 45
- Standard caren = 45reference
- Primary endpoint
- Average and peak infusion rates of remifentanil
Methodological detailssingle-centre, prospective, nonblinded
- Single-centre
- Prospective
- Nonblinded
Primary result
As reported in the abstract
Average and peak remifentanil infusion rates
- Audiovisual distraction vs Standard care: P = 0.028
- Audiovisual distraction vs Standard care: P = 0.025
- Intention-to-treat
Further findings
| Outcome | P value |
|---|---|
| Reported pain scoresNo significant difference | P = 0.364 |
Pre- and postinterventional anxiety
- No relevant differences between the groups
Original publication
The Influence of Audiovisual Distraction on Pain Reduction During Transcatheter Aortic Valve Implantation Under Monitored Anesthesia Care: A Prospective Randomized Trial. J Cardiothorac Vasc Anesth. Published 1 December 2023. doi:10. 1053/ j. jvca. 2023. 11. 041
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