Anaesthetic Techniques for Cardiac Ablation-A Scoping Review Protocol

Mathilde Bang Fredensborg1,2, Sebastian Bach Fiege3, Ann M Møller1,2

  • 1Department of Anaesthesiology, Herlev Anaesthesia Critical and Emergency Care Science Unit (ACES), Copenhagen University Hospital-Herlev Hospital, Herlev, Denmark.

Insights

This scoping review maps current evidence on anesthesia for cardiac ablation procedures. It aims to identify knowledge gaps and guide future research and clinical decisions for managing cardiac arrhythmias.

Area of Science:

  • Cardiology
  • Anesthesiology

Background:

  • Cardiac arrhythmias, including atrial fibrillation, are a significant global health concern.
  • Cardiac ablation is a common treatment, often requiring anesthesia for patient safety and success.
  • Optimal anesthesia strategies for cardiac ablation lack consensus, with limited research on diverse techniques and populations.

Purpose of the Study:

  • To systematically map existing evidence on anesthesia methods used during cardiac ablation procedures.
  • To provide a structured overview of the current landscape of anesthesia in cardiac ablations.

Main Methods:

  • A scoping review following PRISMA-ScR guidelines.
  • Comprehensive literature search across major databases (Medline, EMBASE, Cochrane, Scopus, Google Scholar).
  • Inclusion of studies on adult patients undergoing cardiac ablation, focusing on all anesthetic/sedative techniques; data extraction by independent reviewers.

Main Results:

  • Findings will be presented through a descriptive and narrative summary.
  • Data will be supplemented with tables, figures, and graphs for clarity.

Conclusions:

  • This review will offer a structured overview of anesthesia methods in cardiac ablations.
  • The findings are expected to highlight knowledge gaps and inform future research and clinical practice.
  • This work will aid decision-making regarding anesthesia strategies for cardiac arrhythmia management.
Abstract

Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
341
General Anesthesia: Overview01:24

General Anesthesia: Overview

Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
183
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
92
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia01:30

Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia

Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
920
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
569
Local Anesthetics: Common Agents and Their Applications01:23

Local Anesthetics: Common Agents and Their Applications

Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
390