Cardiac Arrhythmia
Conditions
Keywords
cardiac ablation
Brief summary
Cardiac ablation is an invasive procedure requiring anesthetic support for immobility and analgesia. Benzodiazepines and opioids are the most commonly used agents, while they are associated with respiratory depression and hypotension. The aim of this study was to compare the effect of remifentanil and dexmedetomidine, which exerts sedative and analgesic effect without serious respiratory depression, with conventional midazolam/remifentanil combination on sedative and analgesic levels in patients undergoing endocardial ablation.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* patients scheduled for elective cardiac ablation for atrial fibrillation
Exclusion criteria
* ASA physical status class ≥ 3, * respiratory disease, * end stage renal disease, * illiterate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change of sedation depth | 5 min after study drug adminstration, and every 10 min thereafter | 1. Ramsay sedation score (1 = anxious and agitated, restless; 2 = cooperative, oriented, tranquil; 3 = responsive to verbal commands, drowsy; 4 = asleep, responsive to light stimulation; 5 = asleep, slow response to stimulation; 6 = no response to stimulation) 2. the bispectral index |