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General anesthesia for a cath?



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Apr 01, 2009 06:32 PM

General anesthesia for a cath?


Is general anesthesia ever used during cardiac cath procedures? I know that usually cardiac caths are performed under conscious sedation...


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4 Comments
No. 1
from nursej22
Old Apr 02, 2009, 01:22 AM

Default Re: General anesthesia for a cath?
Yes, but only in special circumstances: allergy or intolerance to sedatives/narcotics; severe obstructive sleep apnea; severe anxiety states (claustrophobia, PTSD), instances when the pt cannot cooperate i.e. developmentally delayed, dementia.
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No. 2
from RN-Cardiac
Old Apr 02, 2009, 01:50 AM

Default Re: General anesthesia for a cath?
I've never seen it done with a general. The pt really needs to be awake enough to move or answer questions durring the procedure.
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No. 3
Old Apr 20, 2009, 08:01 PM

Default Re: General anesthesia for a cath?
We perform general anesthesia for an average of one heart cath/cath lab procedure per week...perhaps a little less. Possible indications include intolerance to sedatives/narcs, extreme claustrophobia, mental problems (dementia, Alzheimer's, mental retardation), and extreme COPD. Patient communication is not required for these procedures, though it can be helpful - its a trade-off.
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No. 4
from Skip219
Old Apr 25, 2009, 10:29 PM

Default Re: General anesthesia for a cath?
In the cath lab where I work, general anesthesia is used on pediatrics for Electrophysiological procedures (EP studies, ICDs, and VT,reentry pathway ablations). Also for older patients with Afib ablations.
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