Journal
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY
Volume 22, Issue 4, Pages 464-466Publisher
WILEY
DOI: 10.1111/j.1540-8167.2010.01889.x
Keywords
anesthetic effects; epicardial VT ablation; procedural sedation; remifentanil
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Remifentanil for Epicardial VT Ablation. Epicardial ablation of ventricular tachycardia (VT) presents multiple challenges for anesthetic management. General anesthesia lowers blood pressure, may interfere with arrhythmia mapping, and use of muscle relaxants precludes identification of the phrenic nerve. We describe a case in which remifentanil with minimal doses of midazolam was employed in a series of epicardial VT ablations and noninvasive programmed stimulations (NIPS), including 5 external cardioversions and discuss the advantages of this approach. (J Cardiovasc Electrophysiol, Vol. 22, pp. 464-466).
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