Remifentanil–Midazolam Sedation Provides Hemodynamic Stability and Comfort During Epicardial Ablation of Ventricular Tachycardia
- 31 August 2010
- journal article
- case report
- Published by Wiley in Journal of Cardiovascular Electrophysiology
- Vol. 22 (4), 464-466
- https://doi.org/10.1111/j.1540-8167.2010.01889.x
Abstract
Epicardial ablation of ventricular tachycardia (VT) presents multiple challenges for anesthetic management. General anesthesia lowers blood pressure, may interfere with arrhythmia mapping, and use of muscle relaxants precludes identification of the phrenic nerve. We describe a case in which remifentanil with minimal doses of midazolam was employed in a series of epicardial VT ablations and noninvasive programmed stimulations (NIPS), including 5 external cardioversions and discuss the advantages of this approach.Keywords
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