On Demand: TAVR Re-imagined: Nurse-led Sedation to Improve Throughput and Outcomes-Webinar Recording

Video Transcription

Video Summary

In a recent webinar hosted by Denise Bushman, Vice President of Care Transformations at MedAxiom, experts from the University of Maryland Medical Center and the University of Texas Health San Antonio shared insights on re-imagining transcatheter aortic valve replacement (TAVR) procedures using nurse-led sedation. Both institutions highlighted the shift from operating rooms to cath labs with nurse-led sedation as a promising approach amidst anesthesia shortages.<br /><br />The teams discussed establishing a thorough screening process comprising inclusion and exclusion criteria to select suitable patients for nurse-led sedation. Both institutions emphasized the significance of including all stakeholders, including administrators, cardiologists, and anesthesia teams, in developing policies and training protocols. The aim was to assure patient safety while enhancing procedural efficiency and resource allocation.<br /><br />Key benefits mentioned included reduced procedural costs and improved scheduling flexibility, allowing anesthesia resources to be redirected to more complex cases. The webinar also showcased significant cost savings and reduced room turnover times when utilizing nurse-led sedation without compromising patient safety or outcomes.<br /><br />Maryland and Texas teams outlined procedures related to staff roles, emergency protocols, and medication administration during TAVR with nurse-led sedation. Essential checkpoints like Malampati scores and ASA assessments are conducted in clinic settings to ensure patient safety for sedation candidates.<br /><br />The presenters emphasized the need for thorough preparation, training, and administrative support to ensure the successful implementation of this innovative approach. The program could lead to enhanced patient throughput, reduced length of stay, and optimal use of clinical expertise within the cath lab setting.

Keywords

webinar

nurse-led sedation

transcatheter aortic valve replacement

TAVR

anesthesia shortages

patient safety

procedural efficiency

cost savings

clinical expertise

cath lab