Department of Anesthesiology and Perioperative Medicine, University of Rochester School of Medicine & Dentistry, 601 Elmwood Avenue, Box 604, Rochester, NY 14642, USA.
Department of Medicine, Cardiology, University of Rochester School of Medicine & Dentistry, 601 Elmwood Ave, Floor G, Strong Ambulatory Care Facility, Rochester, NY 14642, USA.
Adv Anesth. 2022 Dec;40(1):131-147. doi: 10.1016/j.aan.2022.06.004.
The number of electrophysiology (EP) procedures being performed has dramatically increased in recent years. This escalation necessitates a full understanding by the general anesthesiologist as to the risks, specific considerations, and comorbidities that accompany these now common procedures. Procedures reviewed in this article include atrial fibrillation and flutter ablation, supraventricular tachycardia ablation, ventricular tachycardia ablation, electrical cardioversion, pacemaker insertion, implantable cardioverter-defibrillator (ICD) insertion, and ICD lead extraction. General anesthetic considerations as well as procedure-specific concerns are discussed. Knowledge of these procedures will add to the anesthesiologist's armamentarium in safely caring for patients in the EP laboratory.
近年来，电生理（EP）程序的数量大幅增加。这种升级要求普通麻醉师充分了解这些常见程序所伴随的风险、具体注意事项和合并症。本文回顾了心房颤动和扑动消融、室上性心动过速消融、室性心动过速消融、电复律、起搏器植入、植入式心脏复律除颤器（ICD）植入和 ICD 导联拔除等程序。讨论了一般麻醉注意事项以及具体程序相关问题。了解这些程序将有助于麻醉师在 EP 实验室安全地照顾患者。
