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Cardiac Electrophysiology Study and Ablation

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 2-4 hours (long)
Blood Loss : Very Low (5-10 ml)
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : Usually none, since most studies run on sedation; a relaxant only follows a decision to intubate.
Considerations : Off-site, Fluoroscopy / Xray, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1MAC, Propofol Drip, Local Anesthetic
2Conscious Sedation, Local Anesthetic
3GETT, TIVA, Remifentanil Drip
The Surgery

Setting and preparation - An electrophysiology laboratory rather than a main operating room. Defibrillator pads are applied before draping, three-dimensional mapping patches go on the chest and back,...

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