bandage-green

Ventricular Tachycardia Ablation

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 4+ hours (very long)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Given once the airway is secured, but withheld if the team will pace to locate the phrenic nerve.
Considerations : Off-site, Fluoroscopy / Xray, Arterial line, Central line, Anticoagulation / Antiplatelet Therapy, Mechanical Circulatory Support

Anesthetic Approaches

1GETT, TIVA, Remifentanil Drip
2MAC, Propofol Drip
3GETT, 1/2 MAC Gas, Remifentanil Drip
The Surgery

Setting and preparation - An electrophysiology laboratory or a hybrid room. Defibrillator pads are applied before draping, an existing implantable defibrillator is interrogated and its therapies...

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