Cargando…

The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)

The aim of this survey, which was open to all Italian cardiologists involved in arrhythmia, was to assess common practice regarding sedation and analgesia in interventional electrophysiology procedures in Italy. The survey consisted of 28 questions regarding the approach to sedation used for electiv...

Descripción completa

Detalles Bibliográficos
Autores principales: Palmisano, Pietro, Ziacchi, Matteo, Angeletti, Andrea, Guerra, Federico, Forleo, Giovanni Battista, Bertini, Matteo, Notarstefano, Pasquale, Accogli, Michele, Lavalle, Carlo, Bisignani, Giovanni, Landolina, Maurizio, Zanotto, Gabriele, D’Onofrio, Antonio, Ricci, Renato Pietro, De Ponti, Roberto, Boriani, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584354/
https://www.ncbi.nlm.nih.gov/pubmed/34768557
http://dx.doi.org/10.3390/jcm10215035
_version_ 1784597429236006912
author Palmisano, Pietro
Ziacchi, Matteo
Angeletti, Andrea
Guerra, Federico
Forleo, Giovanni Battista
Bertini, Matteo
Notarstefano, Pasquale
Accogli, Michele
Lavalle, Carlo
Bisignani, Giovanni
Landolina, Maurizio
Zanotto, Gabriele
D’Onofrio, Antonio
Ricci, Renato Pietro
De Ponti, Roberto
Boriani, Giuseppe
author_facet Palmisano, Pietro
Ziacchi, Matteo
Angeletti, Andrea
Guerra, Federico
Forleo, Giovanni Battista
Bertini, Matteo
Notarstefano, Pasquale
Accogli, Michele
Lavalle, Carlo
Bisignani, Giovanni
Landolina, Maurizio
Zanotto, Gabriele
D’Onofrio, Antonio
Ricci, Renato Pietro
De Ponti, Roberto
Boriani, Giuseppe
author_sort Palmisano, Pietro
collection PubMed
description The aim of this survey, which was open to all Italian cardiologists involved in arrhythmia, was to assess common practice regarding sedation and analgesia in interventional electrophysiology procedures in Italy. The survey consisted of 28 questions regarding the approach to sedation used for elective direct-current cardioversion (DCC), subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation, atrial fibrillation (AF) ablation, ventricular tachycardia (VT) ablation, and transvenous lead extraction procedures. A total of 105 cardiologists from 92 Italian centres took part in the survey. The rate of centres where DCC, S-ICD implantation, AF ablation, VT ablation and lead extraction procedures were performed without anaesthesiologic assistance was 60.9%, 23.6%, 51.2%, 37.3%, and 66.7%, respectively. When these procedures were performed without anaesthesiologic assistance, the drugs (in addition to local anaesthetics) commonly administered were benzodiazepines (from 64.3% to 79.6%), opioids (from 74.4% to 88.1%), and general anaesthetics (from 7.1% to 30.4%). Twenty-three (21.9%) of the 105 cardiologists declared that they routinely administered propofol, without the supervision of an anaesthesiologist, in at least one of the above-mentioned procedures. In current Italian clinical practice, there is a lack of uniformity in the sedation/analgesia approach used in interventional electrophysiology procedures.
format Online
Article
Text
id pubmed-8584354
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-85843542021-11-12 The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing) Palmisano, Pietro Ziacchi, Matteo Angeletti, Andrea Guerra, Federico Forleo, Giovanni Battista Bertini, Matteo Notarstefano, Pasquale Accogli, Michele Lavalle, Carlo Bisignani, Giovanni Landolina, Maurizio Zanotto, Gabriele D’Onofrio, Antonio Ricci, Renato Pietro De Ponti, Roberto Boriani, Giuseppe J Clin Med Article The aim of this survey, which was open to all Italian cardiologists involved in arrhythmia, was to assess common practice regarding sedation and analgesia in interventional electrophysiology procedures in Italy. The survey consisted of 28 questions regarding the approach to sedation used for elective direct-current cardioversion (DCC), subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation, atrial fibrillation (AF) ablation, ventricular tachycardia (VT) ablation, and transvenous lead extraction procedures. A total of 105 cardiologists from 92 Italian centres took part in the survey. The rate of centres where DCC, S-ICD implantation, AF ablation, VT ablation and lead extraction procedures were performed without anaesthesiologic assistance was 60.9%, 23.6%, 51.2%, 37.3%, and 66.7%, respectively. When these procedures were performed without anaesthesiologic assistance, the drugs (in addition to local anaesthetics) commonly administered were benzodiazepines (from 64.3% to 79.6%), opioids (from 74.4% to 88.1%), and general anaesthetics (from 7.1% to 30.4%). Twenty-three (21.9%) of the 105 cardiologists declared that they routinely administered propofol, without the supervision of an anaesthesiologist, in at least one of the above-mentioned procedures. In current Italian clinical practice, there is a lack of uniformity in the sedation/analgesia approach used in interventional electrophysiology procedures. MDPI 2021-10-28 /pmc/articles/PMC8584354/ /pubmed/34768557 http://dx.doi.org/10.3390/jcm10215035 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Palmisano, Pietro
Ziacchi, Matteo
Angeletti, Andrea
Guerra, Federico
Forleo, Giovanni Battista
Bertini, Matteo
Notarstefano, Pasquale
Accogli, Michele
Lavalle, Carlo
Bisignani, Giovanni
Landolina, Maurizio
Zanotto, Gabriele
D’Onofrio, Antonio
Ricci, Renato Pietro
De Ponti, Roberto
Boriani, Giuseppe
The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)
title The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)
title_full The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)
title_fullStr The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)
title_full_unstemmed The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)
title_short The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)
title_sort practice of deep sedation in electrophysiology and cardiac pacing laboratories: results of an italian survey promoted by the aiac (italian association of arrhythmology and cardiac pacing)
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584354/
https://www.ncbi.nlm.nih.gov/pubmed/34768557
http://dx.doi.org/10.3390/jcm10215035
work_keys_str_mv AT palmisanopietro thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT ziacchimatteo thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT angelettiandrea thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT guerrafederico thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT forleogiovannibattista thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT bertinimatteo thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT notarstefanopasquale thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT accoglimichele thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT lavallecarlo thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT bisignanigiovanni thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT landolinamaurizio thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT zanottogabriele thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT donofrioantonio thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT riccirenatopietro thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT depontiroberto thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT borianigiuseppe thepracticeofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT palmisanopietro practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT ziacchimatteo practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT angelettiandrea practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT guerrafederico practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT forleogiovannibattista practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT bertinimatteo practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT notarstefanopasquale practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT accoglimichele practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT lavallecarlo practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT bisignanigiovanni practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT landolinamaurizio practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT zanottogabriele practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT donofrioantonio practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT riccirenatopietro practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT depontiroberto practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing
AT borianigiuseppe practiceofdeepsedationinelectrophysiologyandcardiacpacinglaboratoriesresultsofanitaliansurveypromotedbytheaiacitalianassociationofarrhythmologyandcardiacpacing