Moderate sedation in cardiac electrophysiology laboratory: a retrospective safety analysis
Sawhney et al reported that nurse-led, physician-directed moderate sedation during cardiac electrophysiology procedures is safe.
Moreover, as mentioned in the article, sedation is a continuum and it is not always possible to predict how individual patients will respond. Therefore, a gradual increase of doses of the sedatives during sedation may be needed, which may possibly increase the procedure duration. Did authors ascertain any prolongation of the procedures due to sedative administration?
Furthermore, sedation may diminish arrhythmia induction during EP procedures, particularly in patients with catecholamine-sensitive ventricular tachycardias.
Publisher URL: http://heart.bmj.com/cgi/content/short/103/19/1557-a
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