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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...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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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 |
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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 |
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