Recommendations for anesthesia during catheter ablation of VA
COR | LOE | Recommendations | References |
---|---|---|---|
| |||
I | C-EO | 1. Provision of variable depth of sedation, analgesia, and anesthesia during mapping and ablation of VA is recommended. | |
I | C-EO | 2. In patients undergoing VA ablation, careful preprocedural assessment is indicated to define the ideal strategy for sedation and analgesia. | |
IIa | C-LD | 3. It is reasonable to avoid general anesthesia and deeper levels of sedation in patients with idiopathic VA, particularly if the arrhythmia is suspected to be catecholamine-sensitive or was not inducible at a prior procedure. | S6.1.1 |
IIb | B-NR | 4. Moderate to deep sedation under close hemodynamic and respiratory monitoring might be considered for VA ablation in stable patients with idiopathic or scar-related VAs expected to have a longer procedure or undergo a painful technique, such as epicardial access. | S6.1.1–S6.1.3 |