Cited 40 times in
Improved sedation with dexmedetomidine-remifentanil compared with midazolam-remifentanil during catheter ablation of atrial fibrillation: a randomized, controlled trial
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 곽영란 | - |
dc.contributor.author | 나성원 | - |
dc.contributor.author | 박인혜 | - |
dc.contributor.author | 심재광 | - |
dc.contributor.author | 조진선 | - |
dc.date.accessioned | 2015-01-06T16:58:24Z | - |
dc.date.available | 2015-01-06T16:58:24Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 1099-5129 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/99127 | - |
dc.description.abstract | AIMS: Anaesthesia is required for catheter ablation of atrial fibrillation (A-fib) to achieve patient comfort and immobilization to avoid map shifts. This study compared the analgesic and sedative efficacies of dexmedetomidine-remifentanil with those of midazolam-remifentanil for catheter ablation of A-fib. METHODS AND RESULTS: Ninety patients were randomized to receive either intermittent midazolam boluses (1-2 mg) with 3.6-7.2 µg/kg/h of remifentanil (MR group) or dexmedetomidine 0.2-0.7 µg/kg/h after a loading dose of 1 µg/kg with 1.2-2.4 µg/kg/h of remifentanil (DR group). The sedation level assessed by the Ramsay sedation and bispectral index scores, haemodynamic variables, pain score (10-point numerical scale), and satisfaction levels of the patients and cardiologists (5-point numerical scale) were recorded. The Ramsay sedation score was significantly higher, and the bispectral index score was lower in the DR group (P< 0.001) compared with the MR group starting 10 min after drug administration. The incidence of desaturation (SpO2 < 90%) was significantly greater in the MR group compared with the DR group (15 vs. 1, P < 0.001). The pain score was significantly lower (1.72 ± 1.65 vs. 0.95 ± 1.10, P = 0.021), and the satisfaction levels of interventionists were significantly higher (2.50 ± 0.71 vs. 3.00 ± 0.63, P = 0.001) in the DR group compared with the MR group. CONCLUSION: The combination of dexmedetomidine and remifentanil provided deeper sedation, less respiratory depression, better analgesia, and higher satisfaction for the interventionist during catheter ablation of A-fib compared with midazolam plus remifentanil, even at a lower dose of remifentanil. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 1000~1006 | - |
dc.relation.isPartOf | EUROPACE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Atrial Fibrillation/diagnosis | - |
dc.subject.MESH | Atrial Fibrillation/physiopathology | - |
dc.subject.MESH | Atrial Fibrillation/surgery* | - |
dc.subject.MESH | Attitude of Health Personnel | - |
dc.subject.MESH | Catheter Ablation*/adverse effects | - |
dc.subject.MESH | Conscious Sedation/adverse effects | - |
dc.subject.MESH | Conscious Sedation/methods* | - |
dc.subject.MESH | Consciousness Monitors | - |
dc.subject.MESH | Dexmedetomidine/administration & dosage* | - |
dc.subject.MESH | Dexmedetomidine/adverse effects | - |
dc.subject.MESH | Drug Administration Schedule | - |
dc.subject.MESH | Drug Therapy, Combination | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Hemodynamics/drug effects | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Hypnotics and Sedatives/administration & dosage* | - |
dc.subject.MESH | Hypnotics and Sedatives/adverse effects | - |
dc.subject.MESH | Intraoperative Neurophysiological Monitoring/instrumentation | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Midazolam/administration & dosage* | - |
dc.subject.MESH | Midazolam/adverse effects | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Pain Perception/drug effects | - |
dc.subject.MESH | Pain Threshold/drug effects | - |
dc.subject.MESH | Patient Satisfaction | - |
dc.subject.MESH | Piperidines/administration & dosage* | - |
dc.subject.MESH | Piperidines/adverse effects | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Republic of Korea | - |
dc.subject.MESH | Time Factors | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Improved sedation with dexmedetomidine-remifentanil compared with midazolam-remifentanil during catheter ablation of atrial fibrillation: a randomized, controlled trial | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology (마취통증의학) | - |
dc.contributor.googleauthor | Jin Sun Cho | - |
dc.contributor.googleauthor | Jae-Kwang Shim | - |
dc.contributor.googleauthor | Sungwon Na | - |
dc.contributor.googleauthor | Inhye Park | - |
dc.contributor.googleauthor | Young Lan Kwak | - |
dc.identifier.doi | 10.1093/europace/eut365 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00172 | - |
dc.contributor.localId | A01232 | - |
dc.contributor.localId | A01629 | - |
dc.contributor.localId | A02205 | - |
dc.contributor.localId | A03914 | - |
dc.relation.journalcode | J00801 | - |
dc.identifier.eissn | 1532-2092 | - |
dc.identifier.pmid | 24381332 | - |
dc.identifier.url | http://europace.oxfordjournals.org/content/16/7/1000.long | - |
dc.subject.keyword | Atrial fibrillation | - |
dc.subject.keyword | Catheter ablation | - |
dc.subject.keyword | Conscious sedation | - |
dc.subject.keyword | Dexmedetomidine | - |
dc.subject.keyword | Midazolam | - |
dc.subject.keyword | Remifentanil | - |
dc.contributor.alternativeName | Kwak, Young Lan | - |
dc.contributor.alternativeName | Na, Sung Won | - |
dc.contributor.alternativeName | Park, In Hye | - |
dc.contributor.alternativeName | Shim, Jae Kwang | - |
dc.contributor.alternativeName | Cho, Jin Sun | - |
dc.contributor.affiliatedAuthor | Kwak, Young Lan | - |
dc.contributor.affiliatedAuthor | Na, Sung Won | - |
dc.contributor.affiliatedAuthor | Park, In Hye | - |
dc.contributor.affiliatedAuthor | Shim, Jae Kwang | - |
dc.contributor.affiliatedAuthor | Cho, Jin Sun | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 16 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 1000 | - |
dc.citation.endPage | 1006 | - |
dc.identifier.bibliographicCitation | EUROPACE, Vol.16(7) : 1000-1006, 2014 | - |
dc.identifier.rimsid | 50279 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.