Source:http://linkedlifedata.com/resource/pubmed/id/17483529
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
2007-7-19
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pubmed:abstractText |
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.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
1099-5129
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
9
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
545-50
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pubmed:meshHeading |
pubmed-meshheading:17483529-Aged,
pubmed-meshheading:17483529-Anesthesia, General,
pubmed-meshheading:17483529-Anesthesia, Local,
pubmed-meshheading:17483529-Chi-Square Distribution,
pubmed-meshheading:17483529-Conscious Sedation,
pubmed-meshheading:17483529-Defibrillators, Implantable,
pubmed-meshheading:17483529-Feasibility Studies,
pubmed-meshheading:17483529-Female,
pubmed-meshheading:17483529-Humans,
pubmed-meshheading:17483529-Logistic Models,
pubmed-meshheading:17483529-Male,
pubmed-meshheading:17483529-Middle Aged,
pubmed-meshheading:17483529-Pain Measurement,
pubmed-meshheading:17483529-Prospective Studies,
pubmed-meshheading:17483529-Treatment Outcome
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pubmed:year |
2007
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pubmed:articleTitle |
Can we implant cardioverter defibrillator under minimal sedation?
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pubmed:affiliation |
Department of Cardiology A, Hôpital Cardiologique de Lille, CHRU, Blvd du Pr Leclercq, F-59037 Lille (Cedex), France. c-marquie@chru-lille.fr
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pubmed:publicationType |
Journal Article
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