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在心房移除过程中使用新型可变循环双相脉冲场移除导管的深度镇静协议

Massimo Grimaldi¹, Federico Quadrini¹, Nicola Caporusso²

¹Dipartimento di Cardiologia, Ospedale Generale Regionale 'F. Miulli', Acquaviva delle Fonti, Bari, Italy.

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

|July 20, 2023

概括

对心房动 (AF) 的脉冲场切除 (PFA) 可以安全地使用深度镇静方案进行. 这种方法为PFA手术提供了全身麻醉的可行替代方案.

科学领域:

心脏病学心脏病学
电力生理学电力生理学
医疗器械医疗器械

背景情况:

脉冲场移除 (PFA) 是一种新兴的非热移除技术,用于心房动 (AF).
启发研究证明了双相PFA系统在 Paroxysmal AF治疗中的安全性和有效性.
一般麻醉通常用于PFA,但具有固有的风险.

研究的目的:

评估PFA程序的深度镇静协议的安全性和有效性.
评估患者在镇静下PFA期间的舒适度和满意度.
为了确定深度镇静是否是PFA的全身麻醉的合适替代方案.

主要方法:

总共分析了29名为AF接受PFA治疗的患者.
一个特定的深度镇静方案被管理和监控.
患者的镇静水平使用里士满兴奋镇静量表 (RASS) 和视觉模拟量表 (VAS) 进行评估.
患者状态指数 (PSI) 和利克尔特尺度问卷 (LSQ) 用于监测和满意度评估.

主要成果:

在任何病人身上都没有观察到任何手术并发症.
在所有程序中都保持了足够的氧和.
深度镇静方案成功实现了93%的患者的目标RASS得分和83%的患者的VAS得分.
大多数患者报告说,他们对手术期间的镇痛和镇静有积极的满意度.

结论:

报告的深度镇静方案是PFA手术中全身麻醉的安全有效替代方案.
这种镇静策略使PFA程序使用双相脉冲系统与可变循环圆通道方便.
深度镇静可以提高患者在AF治疗PFA期间的舒适度和满意度.

关键词:

心房动是一种心房动.导管切除导管切除导管切除导管切除电穿孔是一种电子穿孔.肺静脉隔离肺静脉隔离肺静脉隔离脉冲场消去是脉冲场消去的一种方法.镇静的协议镇静的协议

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