The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)

The aim of this survey, which was open to all Italian cardiologists involved in arrhythmia, was to assess common practice regarding sedation and analgesia in interventional electrophysiology procedures in Italy. The survey consisted of 28 questions regarding the approach to sedation used for electiv...

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Autores principales:	Pietro Palmisano, Matteo Ziacchi, Andrea Angeletti, Federico Guerra, Giovanni Battista Forleo, Matteo Bertini, Pasquale Notarstefano, Michele Accogli, Carlo Lavalle, Giovanni Bisignani, Maurizio Landolina, Gabriele Zanotto, Antonio D’Onofrio, Renato Pietro Ricci, Roberto De Ponti, Giuseppe Boriani
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	ablation cardioversion electrophysiology implantable cardioverter defibrillator pacemaker sedation Medicine R
Acceso en línea:	https://doaj.org/article/050d07977304402c8a4f6b41f2057d4e
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spelling	oai:doaj.org-article:050d07977304402c8a4f6b41f2057d4e2021-11-11T17:39:36ZThe Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)10.3390/jcm102150352077-0383https://doaj.org/article/050d07977304402c8a4f6b41f2057d4e2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5035https://doaj.org/toc/2077-0383The aim of this survey, which was open to all Italian cardiologists involved in arrhythmia, was to assess common practice regarding sedation and analgesia in interventional electrophysiology procedures in Italy. The survey consisted of 28 questions regarding the approach to sedation used for elective direct-current cardioversion (DCC), subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation, atrial fibrillation (AF) ablation, ventricular tachycardia (VT) ablation, and transvenous lead extraction procedures. A total of 105 cardiologists from 92 Italian centres took part in the survey. The rate of centres where DCC, S-ICD implantation, AF ablation, VT ablation and lead extraction procedures were performed without anaesthesiologic assistance was 60.9%, 23.6%, 51.2%, 37.3%, and 66.7%, respectively. When these procedures were performed without anaesthesiologic assistance, the drugs (in addition to local anaesthetics) commonly administered were benzodiazepines (from 64.3% to 79.6%), opioids (from 74.4% to 88.1%), and general anaesthetics (from 7.1% to 30.4%). Twenty-three (21.9%) of the 105 cardiologists declared that they routinely administered propofol, without the supervision of an anaesthesiologist, in at least one of the above-mentioned procedures. In current Italian clinical practice, there is a lack of uniformity in the sedation/analgesia approach used in interventional electrophysiology procedures.Pietro PalmisanoMatteo ZiacchiAndrea AngelettiFederico GuerraGiovanni Battista ForleoMatteo BertiniPasquale NotarstefanoMichele AccogliCarlo LavalleGiovanni BisignaniMaurizio LandolinaGabriele ZanottoAntonio D’OnofrioRenato Pietro RicciRoberto De PontiGiuseppe BorianiMDPI AGarticleablationcardioversionelectrophysiologyimplantable cardioverter defibrillatorpacemakersedationMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5035, p 5035 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ablation cardioversion electrophysiology implantable cardioverter defibrillator pacemaker sedation Medicine R
spellingShingle	ablation cardioversion electrophysiology implantable cardioverter defibrillator pacemaker sedation Medicine R Pietro Palmisano Matteo Ziacchi Andrea Angeletti Federico Guerra Giovanni Battista Forleo Matteo Bertini Pasquale Notarstefano Michele Accogli Carlo Lavalle Giovanni Bisignani Maurizio Landolina Gabriele Zanotto Antonio D’Onofrio Renato Pietro Ricci Roberto De Ponti Giuseppe Boriani The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)
description	The aim of this survey, which was open to all Italian cardiologists involved in arrhythmia, was to assess common practice regarding sedation and analgesia in interventional electrophysiology procedures in Italy. The survey consisted of 28 questions regarding the approach to sedation used for elective direct-current cardioversion (DCC), subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation, atrial fibrillation (AF) ablation, ventricular tachycardia (VT) ablation, and transvenous lead extraction procedures. A total of 105 cardiologists from 92 Italian centres took part in the survey. The rate of centres where DCC, S-ICD implantation, AF ablation, VT ablation and lead extraction procedures were performed without anaesthesiologic assistance was 60.9%, 23.6%, 51.2%, 37.3%, and 66.7%, respectively. When these procedures were performed without anaesthesiologic assistance, the drugs (in addition to local anaesthetics) commonly administered were benzodiazepines (from 64.3% to 79.6%), opioids (from 74.4% to 88.1%), and general anaesthetics (from 7.1% to 30.4%). Twenty-three (21.9%) of the 105 cardiologists declared that they routinely administered propofol, without the supervision of an anaesthesiologist, in at least one of the above-mentioned procedures. In current Italian clinical practice, there is a lack of uniformity in the sedation/analgesia approach used in interventional electrophysiology procedures.
format	article
author	Pietro Palmisano Matteo Ziacchi Andrea Angeletti Federico Guerra Giovanni Battista Forleo Matteo Bertini Pasquale Notarstefano Michele Accogli Carlo Lavalle Giovanni Bisignani Maurizio Landolina Gabriele Zanotto Antonio D’Onofrio Renato Pietro Ricci Roberto De Ponti Giuseppe Boriani
author_facet	Pietro Palmisano Matteo Ziacchi Andrea Angeletti Federico Guerra Giovanni Battista Forleo Matteo Bertini Pasquale Notarstefano Michele Accogli Carlo Lavalle Giovanni Bisignani Maurizio Landolina Gabriele Zanotto Antonio D’Onofrio Renato Pietro Ricci Roberto De Ponti Giuseppe Boriani
author_sort	Pietro Palmisano
title	The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)
title_short	The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)
title_full	The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)
title_fullStr	The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)
title_full_unstemmed	The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)
title_sort	practice of deep sedation in electrophysiology and cardiac pacing laboratories: results of an italian survey promoted by the aiac (italian association of arrhythmology and cardiac pacing)
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/050d07977304402c8a4f6b41f2057d4e
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The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)

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