Safety of conscious sedation in electroanatomical mapping procedures and cryoballoon pulmonary vein isolation

Immobilization of patients during electrophysiological procedures, to avoid complications by patients’ unexpected bodily motion, is achieved by moderate to deep conscious sedation using benzodiazepines and propofol for sedation and opioids for analgesia. Our aim was to compare respiratory and hemody...

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Bibliographic Details
Published in:Heart and vessels 2021-04, Vol.36 (4), p.561-567
Main Authors: Weinmann, Karolina, Heudorfer, Regina, Lenz, Alexia, Aktolga, Deniz, Rattka, Manuel, Bothner, Carlo, Pott, Alexander, Öchsner, Wolfgang, Rottbauer, Wolfgang, Dahme, Tillman
Format: Article
Language:English
Subjects:
Ablation
Analgesia
Anesthesia
Benzodiazepines
Biomedical Engineering and Bioengineering
Blood pressure
Cardiac Surgery
Cardiology
Complications
Fibrillation
Hemodynamics
Hypercapnia
Hypotension
Hypoxia
Immobilization
Mapping
Medicine
Medicine & Public Health
Morphine
Narcotics
Opioids
Original
Original Article
Oxygen content
Pain perception
Propofol
Radio frequency
Safety
Vascular Surgery
Veins
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Summary:Immobilization of patients during electrophysiological procedures, to avoid complications by patients’ unexpected bodily motion, is achieved by moderate to deep conscious sedation using benzodiazepines and propofol for sedation and opioids for analgesia. Our aim was to compare respiratory and hemodynamic safety endpoints of cryoballoon pulmonary vein isolation (PVI) and electroanatomical mapping (EAM) procedures. Included patients underwent either cryoballoon PVI or EAM procedures. Sedation monitoring included non-invasive blood pressure measurements, transcutaneous oxygen saturation (tSpO 2 ) and transcutaneous carbon-dioxide (tpCO 2 ) measurements. We enrolled 125 consecutive patients, 67 patients underwent cryoballoon atrial fibrillation ablation and 58 patients had an EAM and radiofrequency ablation procedure. Mean procedure duration of EAM procedures was significantly longer ( p  
ISSN:0910-8327
1615-2573
DOI:10.1007/s00380-020-01725-7