Back to Search Start Over

Optimization of procedural sedation and analgesia during atrial fibrillation ablation

Optimization of procedural sedation and analgesia during atrial fibrillation ablation

Source :
Current Opinion in Anesthesiology. 36(3):354-360
Publication Year :
2023
Publisher :
LIPPINCOTT WILLIAMS & WILKINS, 2023.

Abstract

Purpose of reviewThis mini-review is aimed to provide an overview and discuss procedural sedation and analgesia for atrial fibrillation (AF) ablation with focus at qualification of staff, patient evaluation, monitoring, medication and postprocedural care.Recent findingsSleep-disordered breathing is highly prevalent in patients with AF. Impact of often used STOP-BANG questionnaire to detect sleep-disordered breathing in AF patients is limited due to its restricted validity. Dexmedetomidine is a commonly used drug in sedation, but is shown not to be superior to propofol in sedation during AF-ablation. Alternatively use of remimazolam has characteristics that makes it a promising drug for minimal to moderate sedation for AF-ablation. High flow nasal oxygen (HFNO) has shown to reduce the risk of desaturation in adults receiving procedural sedation and analgesia.An optimal sedation strategy during AF ablation should be based on AF patient characteristics, the level of sedation needed, the procedure (duration and type of ablation) and the education and experience of the sedation provider. Patient evaluation and post procedural care are part of sedation care. More personalized care based on use of various sedation strategies and types of drugs as related to the type of AF-ablation is the way to further optimize care.

Details

Language :
English
ISSN :
09527907
Volume :
36
Issue :
3
Database :
OpenAIRE
Journal :
Current Opinion in Anesthesiology
Accession number :
edsair.od........83..ea472fafccaa09fe6ad3ff9ca2aefa6c
Full Text :
https://doi.org/10.1097/ACO.0000000000001263