.
Electrophysiology study
Clinical Procedure
 
Aliases:
EPS
EP Study

Topic aliases are alternate phrasings for a particular topic.


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Considerations as for catheter laboratory-any-hospital and anaesthesia in-a-remote-or-hazardous-environment

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Sep 26, 2012
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Myocardial stunning may rarely occur when the catheter touches the myocardium in patients with poor ventricular function.
This may lead to a period of asystole that may require atropine or adrenaline and CPR to circulate drugs. #safety #ref

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Nov 20, 2012
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The cardiologist may monitor arterial blood pressure through their arterial catheter, but there will be a long delay before this is available.

Consider inserting an arterial catheter at induction for patients with brittle physiology ( pulmonary hypertension, severe valvular stenosis )

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Nov 25, 2013
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Isoprenaline infusion may be required. Below is the paediatric infusion guideline for EPS, modified Boston formula.

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Sep 18, 2013
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Some cardiologists believe high concentration volatile anaesthetic reduces their ability to reproduce arrhythmias and may ask you to "lighten up" the anaesthetic. Muscle relaxation may help provide a more balanced anaesthetic in this situation

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Oct 16, 2012
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In children underdoing general anaesthesia an endotracheal tube will generally be required as it is a prolonged procedure, and will be helpful to provide a secure airway in the event TOE/TEE is required for an atrial septal puncture which will be required to reach left sided pathways.

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Jan 31, 2014
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Consider the rare risk of ventricular rupture leading to pericardial tamponade and EMD arrest.

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Aim for an emergence that avoids the patient coughing that may result in a groin haematoma.

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Aim to have children sedated in recovery to avoid them thrashing about which may cause bleeding at the puncture site.

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Sep 26, 2012
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Some fentanyl charted for administration in recovery for small children may help the nurses manage emergence agitation

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