Anesthesia in the Electrophysiology Laboratory

Anesthesiol Clin. 2017 Dec;35(4):641-654. doi: 10.1016/j.anclin.2017.07.009.

Abstract

The electrophysiology suite is a foreign location to many anesthesiologists. The initial experience was with shorter procedures under conscious sedation, and the value of greater tailoring of the sedation/anesthesia by anesthesiologists was not perceived until practice patterns had already been established. Although better control of ventilation with general anesthesia may be expected, suppression of arrhythmias, blunting of the hemodynamic adaptation to induced arrhythmias, and interference by muscle relaxants with identification of the phrenic nerve may be seen. We review a range of electrophysiology procedures and discuss anesthetic approaches that balance patient safety and favorable outcomes.

Keywords: Catheter ablation; Conscious sedation; General anesthesia; High-frequent jet ventilation; Programmed stimulation.

Publication types

  • Review

MeSH terms

  • Anesthesia / methods*
  • Electrophysiology / methods*
  • Humans