Thoracic paravertebral block for implantable cardioverter-defibrillator and laser lead extraction
| Autor: | John D. Wasnick, Tony Tsai, Kurian Thomas, Bonnie Deschner, Cesar Rodriguez-Diaz |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty Prosthesis-Related Infections medicine.medical_treatment Sedation Intravenous sedation Thoracic Vertebrae medicine Humans Paravertebral Block Local anesthesia Device Removal Cardiac electrophysiology business.industry Lasers Nerve Block Middle Aged Implantable cardioverter-defibrillator Surgery Defibrillators Implantable Electrodes Implanted Anesthesiology and Pain Medicine medicine.anatomical_structure Anesthesia Thoracic vertebrae medicine.symptom business Lead extraction |
| Zdroj: | Journal of clinical anesthesia. 20(5) |
| ISSN: | 0952-8180 |
| Popis: | Implantable cardioverter defibrillators (ICDs) are routinely placed in the cardiac electrophysiology laboratory. Previously, these procedures were performed in the operating room during general anesthesia. In recent years, electrophysiologists have been performing these procedures using local anesthetics in conjunction with intravenous sedation. We report a case in which thoracic paravertebral blocks with mild sedation were successful for infected ICD and laser lead extraction. Randomized, controlled trials are required to determine whether thoracic paravertebral block with sedation is more effective than local anesthesia with sedation in providing adequate anesthesia for ICD placement and extraction. |
| Databáze: | OpenAIRE |
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