Pinosky M L, Reeves S T, Fishman R L, Alpert C C, Dorman B H, Kratz J M
Department of Anesthesiology, Medical University of South Carolina, Charleston 29425-2207, USA.
J Cardiothorac Vasc Anesth. 1996 Oct;10(6):764-6. doi: 10.1016/S1053-0770(96)80202-3.
To evaluate a change in anesthetic technique for transvenous placement of the automatic implantable cardioverter-defibrillator (ICD).
Retrospective study.
A university hospital.
Twenty-eight patients who underwent placement of ICDs.
Thirteen patients had the ICD placed via the transvenous approach with general anesthesia (group GA). Fifteen patients had the ICD placed via the transvenous approach with intravenous sedation (group IV).
Intraoperative systolic and diastolic blood pressures were significantly higher in group IV compared with group GA. The ICD was successfully placed in all patients in both groups. There were no intraoperative complications noted in either group during induction of fibrillation and defibrillation, and there was no recall by any patient in either group. The average hospital stay was significantly less in group IV (1.8 days) compared with group GA (3.4 days).
Intravenous sedation for the placement of ICDs is a safe and effective technique. Patients who had their ICD placed while receiving intravenous sedation experienced higher intraoperative blood pressures and were discharged from the hospital earlier than those patients who received general anesthesia.
评估自动植入式心律转复除颤器（ICD）经静脉置入时麻醉技术的变化。
回顾性研究。
一家大学医院。
28例行ICD置入术的患者。
13例患者经静脉途径在全身麻醉下置入ICD（全身麻醉组）。15例患者经静脉途径在静脉镇静下置入ICD（静脉镇静组）。
静脉镇静组术中收缩压和舒张压显著高于全身麻醉组。两组所有患者的ICD均成功置入。两组在诱发房颤和除颤过程中均未出现术中并发症，两组患者均未出现回忆现象。静脉镇静组的平均住院时间（1.8天）显著短于全身麻醉组（3.4天）。
ICD置入术采用静脉镇静是一种安全有效的技术。接受静脉镇静置入ICD的患者术中血压较高，且比接受全身麻醉的患者更早出院。
