Skip Navigation


Europace Advance Access originally published online on May 5, 2007
Europace 2007 9(7):545-550; doi:10.1093/europace/eum060
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
9/7/545    most recent
eum060v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Marquié, C.
Right arrow Articles by Kacet, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Marquié, C.
Right arrow Articles by Kacet, S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

IMPLANTABLE CARDIOVERTER DEFIBRILLATOR

Can we implant cardioverter defibrillator under minimal sedation?

Christelle Marquié1,*, Audrey Duchemin1, Didier Klug1, Nicolas Lamblin2, Frédérique Mizon1, Hélène Cordova3, Marie Boulo4, Dominique Lacroix1, Annie Pol4 and Salem Kacet1

1 Department of Cardiology A, Hôpital Cardiologique de Lille, CHRU, Blvd du Pr Leclercq, F-59037 Lille (Cedex), France; 2 Department of Cardiology C, Hôpital Cardiologique de Lille, CHRU, Lille, France; 3 Department of Cardiology, Roubaix, France; 4 Department of Anaesthesia, Hôpital Cardiologique de Lille, CHRU, Lille, France

Aim In a prospective study, we tested the feasibility of implantable cardioverter-defibrillator (ICD) implantation under local anaesthesia (LA) with minimal sedation (MS) vs. short general anaesthesia (SGA) for defibrillation test (DT).

Methods and results We implanted ICDs in 118 patients between October 2002 and November 2003. Surgery was performed under LA with MS. Depending on the day of admission, patients had DT without SGA with a shock delivered when patient is unconscious (MS group, n = 73) or with short general anaesthesia (SGA group, n = 45). The patients were asked to rate the intensity of pain on a 10-point visual analogue scale (VAS) at the end of the implantation procedure and for the patient of MS group just after DT (VAS-DT). Visual analogue scale was not influenced by the type of anaesthesia (MS vs. SGA). Univariate analysis showed that NYHA >III, 3 leads implanted and an incomplete understanding of the explanation on the procedure were risk factors of VAS >4. Only understanding of the explanation on the procedure has an influence on pain in multivariate analysis.

Conclusion ICD implantation under MS even for DT is feasible and acceptable for the patient.

Key Words: Implantable cardioverter-defibrillator (ICD), Anaesthesia, Pain, ICD implantation method

* Corresponding author. Tel: +33 3 20 44 50 38; fax: +33 3 20 44 68 98. E-mail address: c-marquie{at}chru-lille.fr

Manuscript submitted 29 March 2006. Accepted after revision 8 March 2007.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.