On Demand: TAVR Re-imagined: Nurse-led Sedation to Improve Throughput and Outcomes-Presentation Slides

Presentation Slides

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The document discusses a transformative approach to transcatheter aortic valve replacement (TAVR) procedures through Nurse-Led Sedation (NLS). This method is aimed at increasing procedural efficiency and patient throughput while minimizing resource utilization. Traditionally, TAVR requires anesthesia in an operating room setting, but with rising procedural volumes, there is a need to optimize cardiac care services. <br /><br />NLS enables nurses to administer sedation under specific protocols in a catheterization lab, which allows for a significant increase in the number of TAVR procedures. This is particularly crucial given the shortages in anesthesia availability and the need for improved scheduling flexibility. By utilizing NLS criteria and protocols—such as patient selection based on BMI, ejection fraction, and risk factors—hospitals can decrease procedural times, reduce costs, and minimize patient stay durations without compromising on safety.<br /><br />Key hospitals, such as the University of Maryland Medical Center and UT Health San Antonio, have successfully integrated NLS into their TAVR programs. These implementations have resulted in operational and financial benefits, including a reduction in procedure-related delays and cancellations, faster patient turnover, more flexible scheduling, and minimized anesthesia team burdens. <br /><br />The document provides insights into how nursing teams are prepared for NLS roles, with specific guidelines and emergency preparedness plans established to handle complications. Through this innovative approach, heart programs can maintain high standards of care while handling increased demand with existing resources. The implementation of NLS represents a forward-thinking model for cardiac care, promoting efficient and effective treatment pathways.

Keywords

transcatheter aortic valve replacement

nurse-led sedation

procedural efficiency

patient throughput

resource utilization

cardiac care optimization

sedation protocols

hospital implementation

anesthesia shortages

emergency preparedness