Positive Outcomes Related to Utilizing a Dedicated Anesthesia Team in the Electrophysiology Lab

From EP Lab DigestVolume 14 – Issue 8 – August 2014 | Posted on: 7/31/14
By Michael Neal, CRNA, MSN, Duke University Medical Center, Durham, North Carolina

The patient population in the electrophysiology (EP) lab presents a unique challenge for anesthesia and conscious sedation providers. EP patients can be categorized into three groups: those who need a cardiac ablation for the treatment of arrhythmias, those who need an EP study to determine if they are a candidate for an ablation or an implanted cardiac device, and those who require cardiac device implantation such as a pacemaker or internal defibrillator (ICD). Aside from the basic anesthesia requirements found in most surgical procedures like amnesia, analgesia and the maintenance of homeostasis, EP cases can present additional challenges such as dealing with hypotension from arrhythmia induction, the development of cardiac tamponade, and effusion during an ablation or device implantation.

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