Division of Cardiothoracic Anesthesiology, Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN.
Department of Anesthesiology, Yale School of Medicine, New Haven, CT.
J Cardiothorac Vasc Anesth. 2021 Sep;35(9):2775-2783. doi: 10.1053/j.jvca.2021.02.050. Epub 2021 Feb 26.
The electrophysiology laboratory facilitates complex procedures on patients, many of whom have advanced disease processes and extensive comorbidities. Historically, nurses administered sedation as required, but in recent years a shift to anesthesiologist-led sedation has been promoted for patient safety and advanced therapeutic considerations. Uncertainty remains, however, regarding whether the electrophysiology laboratory is best staffed with general or cardiothoracic anesthesiologists. In this article, the authors discuss the anesthetic considerations of some commonly performed electrophysiology and structural cardiac procedures and the pros and cons of staffing with general or cardiothoracic anesthesiologists.
电生理实验室为许多患有晚期疾病和多种合并症的患者提供复杂的程序。历史上，护士根据需要为患者提供镇静，但是近年来，为了患者安全和先进的治疗考虑，提倡由麻醉师主导镇静。然而，关于电生理实验室最好配备普通麻醉师还是心胸麻醉师，仍然存在不确定性。在本文中，作者讨论了一些常见的电生理和结构性心脏程序的麻醉注意事项，以及配备普通麻醉师还是心胸麻醉师的优缺点。
