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Remifentanil–Midazolam Sedation Provides Hemodynamic Stability and Comfort During Epicardial Ablation of Ventricular Tachycardia
Author(s) -
MANDEL JEFF E.,
HUTCHINSON MATHEW D.,
MARCHLINSKI FRANCIS E.
Publication year - 2011
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/j.1540-8167.2010.01889.x
Subject(s) - medicine , remifentanil , midazolam , anesthesia , tachycardia , ablation , ventricular tachycardia , cardiology , sedation , hemodynamics , catheter ablation , propofol
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)