Saito Tomoyuki, Asai Takashi
Department of Anesthesiology, Dokkyo Medical University Saitama Medical Centre, 2-1-50, Minami-Koshigaya, Koshigaya, Saitama, 343-8555, Japan.
J Anesth. 2025 Apr 1. doi: 10.1007/s00540-025-03489-8.
Catheter ablation has become a central part of the non-pharmacological treatment of cardiac arrhythmias. It can be performed under conscious sedation, deep sedation, or general anesthesia, but it is getting clear that the incidence of complications during the procedure and the success rate of treatment (with no recurrence of arrhythmia) may be strongly influenced by sedation or anesthesia method. In particular, in sedated patients, ablation procedure may frequently cause severe pain, and the most common adverse events are related to sedation methods. Therefore, anesthesiologists will increasingly be asked to take care of the patients undergoing catheter ablation. In this article, we describe what anesthesiologists should know about ablation procedure and its associated problems, to provide appropriate anesthesia care to patients undergoing catheter ablation.
导管消融术已成为心律失常非药物治疗的核心组成部分。该手术可在清醒镇静、深度镇静或全身麻醉下进行，但越来越清楚的是，手术过程中的并发症发生率和治疗成功率（心律失常无复发）可能会受到镇静或麻醉方法的强烈影响。特别是，在接受镇静的患者中，消融手术可能经常导致严重疼痛，最常见的不良事件与镇静方法有关。因此，麻醉医生将越来越多地被要求照顾接受导管消融术的患者。在本文中，我们描述了麻醉医生应该了解的关于消融手术及其相关问题，以便为接受导管消融术的患者提供适当的麻醉护理。
