Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-26T04:26:31.428Z Has data issue: false hasContentIssue false

Chapter 18 - Sedation in the Interventional Cardiology Suite

Published online by Cambridge University Press:  12 December 2024

By
Katherine S. Cox ,
Dev Vyas  and
Bryan Lynn
Edited by
Richard D. Urman  and
Alan David Kaye
Richard D. Urman
Affiliation:
Ohio State University
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
Get access

Summary

As new medical techniques and technologies develop, the number of non-surgical interventions continue to evolve. The anesthesiologists’ role in non-operating room anesthesia (NORA) locations continues to expand. In a study of the National Anesthesia Clinical Outcomes Registry, Nagrebetsky et al. found that the proportion of NORA cases increased from 28% in 2010 to 36% in 2014 alone [1]. Interventional cardiology and electrophysiology procedures are no exception to this, as they have continued to develop into fields that offer advanced and comprehensive therapies to treat a wide variety of cardiac pathologies. With the ever-growing success rate of percutaneous approaches to pathologies that once needed surgical intervention, the target patient population has broadened. As such, the increased need for anesthesia services in the interventional cardiology suite reflects a major expansion of our practice perimeter.

Type
Chapter
Information
Moderate and Deep Sedation in Clinical Practice , pp. 235 - 244
Publisher: Cambridge University Press
Print publication year: 2024

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Nagrebetsky, A, Gabriel, RA, Dutton, RP, Urman, RD. Growth of nonoperating room anesthesia care in the United States: a contemporary trends analysis. Anesth Analg. 2017;124:1261–7.CrossRefGoogle ScholarPubMed
Mavarez, AC., Ripat, CI, Suarez, MR. Pectoralis plane block for pacemaker insertion: a successful primary anesthetic. Front Surg. 2019; 6. https://doi.org/10.3389/fsurg.2019.00064CrossRefGoogle ScholarPubMed
Faillace, RT et al. The role of the out-of-operating room anesthesiologist in the care of the cardiac patient. Anesthesiol Clin. 2009;27(1):29–46.CrossRefGoogle ScholarPubMed
Michael, A. Gropper, MD, Lars, I. Eriksson, MD, et al. Miller’s Anesthesia. Philadelphia, PA: Elsevier Health Sciences, 2019.Google Scholar
Chua, J, Patel, K, Neelankavil, J, Mahajan, A. Anesthetic management of electrophysiology procedures. Curr Opin Anaesthesiol. 2012;25(4):470–81.CrossRefGoogle ScholarPubMed
Shook, DC, Savage, RM. Anesthesia in the cardiac catheterization laboratory and electrophysiology laboratory. Anesthesiol Clin. 2009;27(1):47–56.CrossRefGoogle ScholarPubMed
Cribier, A. Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: first human case description. Circulation 2002;106(24):3006–8.CrossRefGoogle ScholarPubMed
Pavcnik, D, Wright, KC, Wallace, S. Development and initial experimental evaluation of a prosthetic aortic valve for transcatheter placement. Work in progress. Radiology 1992;183(1):151–4.CrossRefGoogle ScholarPubMed
Spears, J, Al-Saiegh, Y, Goldberg, D, et al., TAVR: a review of current practices and considerations in low-risk patients. J Interv Cardiol. 2020;2582938. doi:10.1155/2020/2582938CrossRefGoogle Scholar
US Food and Drug Administration. Recently-approved devices – Edwards SAPIEN transcatheter heart valve (THV) – P100041. www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpma/pma.cfm?id=p100041Google Scholar
Smith, CR, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med 2011;364(23):2187–98.CrossRefGoogle ScholarPubMed
Reardon, MJ, Mieghem, NM, Popma, JJ, et al. Surgical or transcatheter aortic-valve replacement in intermediate-risk patients. N Engl J Med. 2017;376(14):1321–31.CrossRefGoogle ScholarPubMed
Haines, DE, et al. Heart Rhythm Society expert consensus statement on electrophysiology laboratory standards: process, protocols, equipment, personnel, and safety. Heart Rhythm. 2014;11F(8):e9–51.CrossRefGoogle Scholar
Chaffins, JA. Radiation protection and procedures in the OR. Radiol Technol. 2008;79(5):415–28;quiz 429–31.Google ScholarPubMed
Morgan, GE, Mikhail, MS, Murray, MJ. Clinical Anesthesiology. New York: McGraw Hill, 2005.Google Scholar
Metzner, J, Posner, KL, Domino, KB. The risk and safety of anesthesia at remote locations: the US closed claims analysis. Curr Opin Anaesthesiol. 2009;22(4):502–8.CrossRefGoogle ScholarPubMed
Waugh, JB, Epps, CA, Khodneva, YA. Capnography enhances surveillance of respiratory events during procedural sedation: a meta-analysis. J Clin Anesth. 2011;23(3):189–96.CrossRefGoogle ScholarPubMed
Merchant, R, Chartrand, D, Dain, S, et al. Guidelines to the practice of anesthesia: revised edition 2015. Can J Anaesth. 2015;62(1):54–67.CrossRefGoogle Scholar
Chang, B, Kaye, AD, Diaz, JH, et al. Interventional procedures outside of the operating room: results from the National Anesthesia Clinical Outcomes Registry. J Patient Saf. 2018;14:9–16CrossRefGoogle ScholarPubMed
Drabek, T, Němec, J. Anesthetic management of electrophysiological procedures for heart failure. Int Anesthesiol Clin. 2012;50(3):22–42.CrossRefGoogle ScholarPubMed
Bader, AM, Pothier, MM. Out-of-operating room procedures: preprocedure assessment. Anesthesiol Clin. 2009;27(1):121–6.CrossRefGoogle ScholarPubMed
Faillace, R, Kaddaha, R, Bikkina, M. The role of the out-of-operating room anesthesiologist in the care of the cardiac patient. Anesthesiol Clin. 2009;27:29–46.CrossRefGoogle ScholarPubMed
Caplan, JP, Querques, J. Consultation, communication, and conflict management by out-of-operating room anesthesiologists: strangers in a strange land. Anesthesiol Clin. 2009;27(1):111–20.CrossRefGoogle Scholar
Price, A, Santucci, P. Electrophysiology procedures: weighing the factors affecting choice of anesthesia. Semin Cardiothorac Vasc Anesth. 2013;17(3):203–11.CrossRefGoogle ScholarPubMed
Anderson, R, Harukuni, I, Sera, V. Anesthetic considerations for electrophysiologic procedures. Anesthesiol Clin. 2013;31(2):479–89.CrossRefGoogle ScholarPubMed
Nicoara, A, Holmquist, F, Raggains, C, Mathew, JP. Anesthesia for catheter ablation procedures. J Cardiothorac Vasc Anesth. 2014;28(6):1589–603.CrossRefGoogle ScholarPubMed
Clarnette, JA, Brooks, AG, Mahajan, R, et al. Outcomes of persistent and long-standing persistent atrial fibrillation ablation: a systematic review and meta-analysis. Europace. 2018;20(FI_3):f366–76. doi:10.1093/europace/eux297CrossRefGoogle ScholarPubMed
Andrade, JG, Wells, GA, Deyell, MW, et al. Cryoablation or drug therapy for initial treatment of atrial fibrillation. N Engl J Med. 2021;384(4):305–15.CrossRefGoogle ScholarPubMed
Kirchhof, P, Camm, AJ, Goette, A, et al. Early rhythm-control therapy in patients with atrial fibrillation. N Engl J Med. 2020;383(14):1305–16.CrossRefGoogle ScholarPubMed
Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002;96(4):1004–17.Google Scholar
McKeage, K, Perry, CM. Propofol: a review of its use in intensive care sedation of adults. CNS Drugs. 2003;17(4):235–72.CrossRefGoogle ScholarPubMed
O’Boyle, CA. Benzodiazepine-induced amnesia and anesthetic practice: a review. Psychopharmacol Ser. 1988;6:146–65.Google ScholarPubMed
Peng, K, Ji FH, Liu HY, et al. Effects of perioperative dexmedetomidine on postoperative mortality and morbidity: a systematic review and meta-analysis. Clin Ther. 2019;41(1):138–54.e4. doi:10.1016/j.clinthera.2018.10.022CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×