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2018 ; 10
(5
): 1775
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Anesthetic Management In Electrophysiology Laboratory: A Multidisciplinary
Review
#MMPMID29988243
Yildiz M
; Yilmaz Ak H
; Oksen D
; Oral S
J Atr Fibrillation
2018[Feb]; 10
(5
): 1775
PMID29988243
show ga
Many clinical challenges have been encountered in electrophysiology laboratories
(EP) while implanting intracardiac defibrillators for lethal arrhythmias, using
pacemakers for bradyarrhythmias, placing pacemakers with multiple leads in
patients with heart failure and cardiac ablation procedures. In this environment,
anesthesiology plays a very critical role to ensure patients comfort, as well as
maintains operator's convenience and facilitate management of undesired
situations. EP laboratories are mostly used for diagnosis of certain heart
diseases. Meanwhile, with the exponential increase in interventional procedures
in our decade, electrophysiologists' need to cooperate with the anesthesiologists
more frequently. The literature is still unclear about the effects of anesthetic
agents on cardiac conduction pathways, but as we know with our previous data, the
most agents we are using currently have more or less effect on the cardiac
conduction systems. In this review, we aimed to describe the safe anesthesia
methods in cardiac diagnostic procedures and have a closer look up the anesthetic
outcomes of these procedures. This article comprehensively reviews the anesthesia
practice encountered in electrophysiology laboratories.