Outcomes of deep sedation for catheter ablation of paroxysmal supraventricular tachycardia, with adaptive servo ventilation

Hayashi, Tatsuya; Mizukami, Akira; Kuroda, Shunsuke; Tateishi, Ryosuke; Kanehama, Nozomu; Tachibana, Shigekuni; Hayasaka, Kazumasa; Hiroki, Jiro; Arai, Hirofumi; Yamagata, Kenji; Iwatsuka, Ryota; Ueshima, Daisuke; Matsumura, Akihiko; Goya, Masahiko; Sasano, Tetsuo

doi:10.1002/joa3.12476

Cited by 4 publications

(4 citation statements)

References 26 publications

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“…In addition, dexmedetomidine may depress sinus and atrioventricular node function due to sympatholytic properties 21 . However, neither propofol nor dexmedetomidine use appears to affect baseline electrophysiological parameters or arrhythmia inducibility, 22,23 although sympathomimetic agents such as isoprenaline or ketamine coadministration are more frequently required for tachyarrhythmia induction 24,25 …”

Section: Supraventricular Tachycardiamentioning

confidence: 99%

“…21 However, neither propofol nor dexmedetomidine use appears to affect baseline electrophysiological parameters or arrhythmia inducibility, 22,23 although sympathomimetic agents such as isoprenaline or ketamine coadministration are more frequently required for tachyarrhythmia induction. 24,25 Typical atrial flutter ablation does not require arrhythmia induction, as there is a clearly defined critical anatomical target for ablation, the cavotricuspid isthmus (Fig. 4).…”

Section: Supraventricular Tachycardiamentioning

confidence: 99%

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Sedation and anaesthetic strategies during cardiac electrophysiology studies and ablation

Reddy

Rubino

Samad

et al. 2022

European Journal of Anaesthesiology

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Cardiac tachyarrhythmias have been treated by catheter ablation for nearly half a century.Due to the duration and discomfort of the procedure, ablations are usually carried out either under general anaesthesia or conscious sedation. Although patient comfort is the most important immediate priority, the choice of general anaesthesia over sedation is often influenced by the type of ablation being performed.

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Section: Supraventricular Tachycardiamentioning

confidence: 99%

Section: Supraventricular Tachycardiamentioning

confidence: 99%

Sedation and anaesthetic strategies during cardiac electrophysiology studies and ablation

Reddy

Rubino

Samad

et al. 2022

European Journal of Anaesthesiology

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“…Брадикардія. Зниження ЧСС під час ПС може бути проявом зниження стресу і концентрації катехоламінів або прямим наслідком негативного хронотропного ефекту, як анестетиків, таких як пропофол, дексмедетомідин, мідазолам, так і наркотичних аналгетиків, такий як фентаніл [25]. Хоча існує думка про те, що мідазолам викликає брадикардію меншою мірою, ніж пропофол та дексмедетомідин, в одному з досліджень частота брадикардії при застосування мідазоламу та пропофолу достовірно не відрізнялась [26].…”

Section: огляд літературиunclassified

“…Найбільшого розповсюдження отримали шкала Альдрете, розроблена в 1970 р. і модифікована в 1995 р. [25], а також модифікована шкала пост-анестетичної виписки (PADSS) [28].…”

Section: оцінка повноти пробудження та готовності до переведення до палати та до випискиunclassified

Justification for the Combined Use of Propofol and Dexmedetomidine in Elective Procedural Sedation

Пилипенко¹,

Михайлов²

2021

Pain Anaesth Int Care

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Procedural sedation (PS) is the technique of administering sedatives with or without analgesics to induce a condition in which the patient can tolerate unpleasant procedures while maintaining cardio-respiratory function. Planned PSs are performed with procedures of various invasiveness, painfulness and duration, but by definition, they do not reach the depth of general anesthesia and do not require the use of respiratory support or controlled mechanical ventilation, and even more – muscle relaxants. For effective PS, it is extremely important to establish verbal contact with the patient and achieve a stable emotional state of the patient and carefully explain to him the details of the PS. When choosing the depth of PS, it’s necessary to reach a compromise between the degree of anesthesia and amnesia, on the one hand, and the effectiveness of spontaneous breathing, as well as the possibility of an early recovery of consciousness, on the other. If possible, the problem of pain (when consciousness is partially preserved) or nociceptive stimuli (when the level of consciousness is reduced or absent) is solved separately through the use of local or regional anesthesia. In addition, non-steroidal anti-inflammatory drugs (NSAIDs) and some other drugs with analgesic properties are often used, and opioid analgesics are avoided or used in small or minimal doses. Unlike anesthesia, even deep sedation cannot and should not completely prevent the patient from moving during intense pain / nociceptive stimuli. If necessary, the problem of patient movements is solved not only and not so much by further deepening sedation, but precisely by improving analgesia and/or fixing the patient for the duration of short-term painful manipulations. To achieve these goals, PS is most often used propofol, or its dexmedetomidine or midazolam. This publication focuses on the advantages of using a multimodal approach for prolonged PS, which allows for a significant reduction in the dose of corresponding drugs and rate of complications in comparison with sedation with a single anaesthetic at significantly higher doses.

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A novel approach to typical atrioventricular nodal reentrant tachycardia with high-resolution mapping using the CARTO 3 cardiac mapping system

Takahashi,

Kuwahara,

Makita

et al. 2023

J Interv Card Electrophysiol

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Outcomes of deep sedation for catheter ablation of paroxysmal supraventricular tachycardia, with adaptive servo ventilation

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 4 publications

References 26 publications

Sedation and anaesthetic strategies during cardiac electrophysiology studies and ablation

Sedation and anaesthetic strategies during cardiac electrophysiology studies and ablation

Justification for the Combined Use of Propofol and Dexmedetomidine in Elective Procedural Sedation

A novel approach to typical atrioventricular nodal reentrant tachycardia with high-resolution mapping using the CARTO 3 cardiac mapping system

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