期刊
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY
卷 22, 期 4, 页码 464-466出版社
WILEY
DOI: 10.1111/j.1540-8167.2010.01889.x
关键词
anesthetic effects; epicardial VT ablation; procedural sedation; remifentanil
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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