Esophageal pressure monitoring for airway management during catheter ablation of atrial fibrillation

Respiratory management during catheter ablation of atrial fibrillation (AF) is important for the efficacy and safety of the procedure. Obstructive apnea due to an upper airway obstruction might cause serious complications including air embolisms and cardiac tamponade. However, real time monitoring o...

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Published in:International journal of cardiology. Heart & vasculature 2021-04, Vol.33, p.100771-100771, Article 100771
Main Authors: Iwasaki, Yu-ki, Fujimoto, Yuhi, Oka, Eiichiro, Ito Hagiwara, Kanako, Takahashi, Kenta, Tsuboi, Ippei, Hayashi, Hiroshi, Yodogawa, Kenji, Hayashi, Meiso, Miyauchi, Yasushi, Shimizu, Wataru
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Language:English
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Airway management
Atrial fibrillation
Catheter ablation
Esophageal pressure
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cited_by cdi_FETCH-LOGICAL-c5061-8b2868abc4074547454e84821ac2f08a8677bfd0d05abf87fff516abebfa58ba3
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container_title International journal of cardiology. Heart & vasculature
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creator Iwasaki, Yu-ki
Fujimoto, Yuhi
Oka, Eiichiro
Ito Hagiwara, Kanako
Takahashi, Kenta
Tsuboi, Ippei
Hayashi, Hiroshi
Yodogawa, Kenji
Hayashi, Meiso
Miyauchi, Yasushi
Shimizu, Wataru
description Respiratory management during catheter ablation of atrial fibrillation (AF) is important for the efficacy and safety of the procedure. Obstructive apnea due to an upper airway obstruction might cause serious complications including air embolisms and cardiac tamponade. However, real time monitoring of upper airway obstructions during catheter ablation has not been established. The purpose of the present study was to evaluate esophageal pressure monitoring for respiratory management during catheter ablation of AF. Twenty-four consecutive patients (20 men and 4 women; mean age, 61 ± 13 years) with AF who underwent esophageal pressure monitoring during catheter ablation of AF were retrospectively analyzed. The patients were divided into 2 groups. One was the obstructive apnea (OA) group (n = 17), which required airway management tools including nasal airways and/or non-invasive positive airway pressure (NPPV) and the other was the control group (n = 7), which did not require airway management. Esophageal pressure measurements were obtained in all patients, and the OA group exhibited a substantial negative esophageal pressure as compared to the control group (−41.48 ± 19.58 vs. −12.42 ± 5.77 mmHg, p 
doi_str_mv 10.1016/j.ijcha.2021.100771
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subjects Airway management
Atrial fibrillation
Catheter ablation
Esophageal pressure
Original Paper
title Esophageal pressure monitoring for airway management during catheter ablation of atrial fibrillation
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