Difference in demand for analgesic and sedative medication according to the type of catheter ablation for atrial fibrillation

• Authors: Edward Koźluk , Wojciech Rzechorzek , Agnieszka Piątkowska , Dariusz Rodkiewicz , Grzegorz Opolski

Abstracts

EN

Background: Our aim was to determine if there is a difference in demand for analgesic and sedative medication according to the type of catheter ablation for atrial fibrillation (AF). Material and methods: We collected data from protocols of 1144pts, who underwent ablation of AF. We excluded 275pts, at most due to electrocardioversion during the procedure. We divided them into 4 groups: cryoballoon ablation group (CB, n = 101), single-point radiofrequency ablation group (RFth-, n = 541), single-point radiofrequency ablation group with thermocool catheter (RFth+, n = 156) and Multielectrode Pulmonary Vein Ablation Catheter group (PVAC, n = 71). We used fentanyl and midazolam for pain control. The dose was adjusted by the operator, accord-ing to patients’ request. Results: The median dose of fentanyl 0.04 mg (0.00-0.08) and midazolam 1.00 mg (0.00-2.00) in CB group was lower than in other groups (p < 0.001). The median dose of fentanyl 0.12 mg (0.08-0.17) was lower in RFth- than in in RFth+ group: 0.15 mg (0.1-0.2) (p < 0.001). The demand for analgesia was higher when PVAC was used, with median dose of fentanyl 0.15 mg (0.1-0.2) (p < 0.0024). Conclusions: The demand for analgesic/sedative medication was lower among patients who underwent CB. Among those who underwent RF ablation it was higher in groups with thermocool and multielectrode catheters.

Keywords

EN

analgesia; atrial fibrillation; catheter ablation; conscious sedation; cryoballoon

• Publisher: Gdański Uniwersytet Medyczny
• Journal: European Journal of Translational and Clinical Medicine
• Year: 2021
• Volume: 4
• Issue: 1
• Pages: 35-42

Dates

published

26 - 5 - 2021

Contributors

author

Edward Koźluk

• 1st Chair and Department of Cardiology, Medical University of Warsaw, Poland

• https://orcid.org/000000027829653X

author

Wojciech Rzechorzek

• Heart and Vascular Institute at Westchester Medical Center, New York Medical College, USA

• https://orcid.org/0000000297550580

author

Agnieszka Piątkowska

• Department and Clinic of Emergency Medicine, Wrocław Medical University, Poland

• https://orcid.org/0000000182342773

author

Dariusz Rodkiewicz

• 1st Chair and Department of Cardiology, Medical University of Warsaw, Poland

• https://orcid.org/000000019638945X

author

Grzegorz Opolski

• 1st Chair and Department of Cardiology, Medical University of Warsaw, Poland

• https://orcid.org/0000000347442554

Identifiers

DOI

10.31373/ejtcm/134678

Biblioteka Nauki

1197576