TY - JOUR
T1 - Conscious sedation and anesthesia in the cardiac electrophysiology laboratory
AU - Lü, Fei
AU - Lin, Jun
AU - Benditt, David G
PY - 2013/2/1
Y1 - 2013/2/1
N2 - Conscious Sedation and Anesthesia. Adequate anesthesia is important for performing EP procedures such as catheter ablation and implantation of cardiac devices. A wide range of anesthesia options are available, and all can be safely administered in EP laboratory with proper monitoring, drug selection, airway management equipment, and trained personnel. In addition to knowing the patient's clinical status, a thorough understanding of the clinical pharmacology of each anesthetic agent is essential in order to select appropriate drug among a variety of available anesthetics, to monitor for adverse effects, and to ensure adequate sedation and anesthesia for a comfortable, safe, and successful procedure. After a general strategy of anesthesia is planned, an individual anesthetic agent or combination of agents can be selected based on their pharmacological properties while keeping in mind the desired sedation/anesthesia requirements. Since anesthetics are often used in combination, the synergistic interaction of several anesthetic agents (infiltrative, parenteral, and/or inhaled) needs to be considered. Further attention also needs to be paid to the interaction between anesthetics and other existing medications. Finally, all care providers should work collaboratively and communicate frequently to provide a safe and effective anesthesia.
AB - Conscious Sedation and Anesthesia. Adequate anesthesia is important for performing EP procedures such as catheter ablation and implantation of cardiac devices. A wide range of anesthesia options are available, and all can be safely administered in EP laboratory with proper monitoring, drug selection, airway management equipment, and trained personnel. In addition to knowing the patient's clinical status, a thorough understanding of the clinical pharmacology of each anesthetic agent is essential in order to select appropriate drug among a variety of available anesthetics, to monitor for adverse effects, and to ensure adequate sedation and anesthesia for a comfortable, safe, and successful procedure. After a general strategy of anesthesia is planned, an individual anesthetic agent or combination of agents can be selected based on their pharmacological properties while keeping in mind the desired sedation/anesthesia requirements. Since anesthetics are often used in combination, the synergistic interaction of several anesthetic agents (infiltrative, parenteral, and/or inhaled) needs to be considered. Further attention also needs to be paid to the interaction between anesthetics and other existing medications. Finally, all care providers should work collaboratively and communicate frequently to provide a safe and effective anesthesia.
KW - anesthesia
KW - catheter ablation
KW - conscious sedation
KW - implantable cardioverter defibrillators
KW - pacemakers
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U2 - 10.1111/jce.12001
DO - 10.1111/jce.12001
M3 - Article
C2 - 23130937
AN - SCOPUS:84873414129
VL - 24
SP - 237
EP - 245
JO - Journal of Cardiovascular Electrophysiology
JF - Journal of Cardiovascular Electrophysiology
SN - 1045-3873
IS - 2
ER -