Site Localization and Characterization of Pain During Radiofrequency Ablation of the Pulmonary Veins

Alaeddini, Jamshid; Wood, Mark A.; Parvez, Baber; Pathak, Vishesh; Wong, Kristen; Ellenbogen, Kenneth A.

doi:10.1111/j.1540-8159.2007.00842.x

Cited by 16 publications

(12 citation statements)

References 12 publications

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“…A third study with patients under moderate sedation (fentanyl plus midazolam or propofol, patients remained arousable throughout the procedure) also showed RF lesions around the left‐sided PVs caused significantly more pain. Pain reactions were not more common within proximity of the esophagus …”

Section: Discussionmentioning

confidence: 91%

Pain Reactions during Pulmonary Vein Isolation under Deep Sedation: Cryothermal versus Radiofrequency Ablation

Attanasio

Huemer

Parwani

et al. 2016

Pacing Clinical Electrophis

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Our results show that despite deep sedation pain reactions often occur during RF ablation. Knowledge of areas with more frequent pain reactions may help electrophysiologists to reduce pain reactions and related patient movements. Ablation with cryoenergy was significantly less painful compared to ablation with RF energy. Cryoablation therefore may be considered for patients at a higher risk for anesthesia-related complications.

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Section: Discussionmentioning

confidence: 91%

Pain Reactions during Pulmonary Vein Isolation under Deep Sedation: Cryothermal versus Radiofrequency Ablation

Attanasio

Huemer

Parwani

et al. 2016

Pacing Clinical Electrophis

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“…When patients are going through minimally invasive procedures under a light conscious sedation, they often experience severe pain and anxiety (Alaeddini et al, 2007;Aryana et al, 2008;Flory, Salazar, & Lang, 2007;Lang et al, 2000Lang et al, , 2006Lang et al, , 2008. A minimally invasive procedure can be defined as a procedure that is less invasive than open surgery and used for the same purpose and requires the penetration of tissue (Horne, Vatmanidis, & Careri, 1994;Wickham, 1987).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of hypnotic analgesia in the management of procedural pain in minimally invasive procedures: A systematic review and meta‐analysis

Noergaard

Håkonsen

Bjerrum

et al. 2019

Journal of Clinical Nursing

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Introduction Patients undergoing minimally invasive procedures under a light conscious sedation perceive pain and anxiety. Hypnosis used together with analgesics has been investigated in numerous studies. Aims and methods To assess the effectiveness of hypnotic analgesia in management of pain, anxiety, analgesic consumption, procedure length and adverse events in adults undergoing minimally invasive procedures. Clinical controlled trials in which hypnosis was used together with pharmacological analgesia compared to pharmacological analgesia alone during invasive procedures were included. Seven databases were searched. The methodological quality of the studies was assessed by two reviewers using a standardised instrument for critical appraisal from Joanna Briggs Institute, ‘Meta‐Analysis of statistics assessment and review Instrument’. Meta‐analyses using the review manager version 5.3 software were conducted on procedure length and adverse events. Results for pain, anxiety and analgesics were synthesised in narrative summaries. Conduction of the review adheres to the PRISMA checklist. Results Ten studies comprising 1,365 participants were included. A reduction in the consumption of pain medication was found between 21%–86% without aggravating pain intensity and anxiety. In few studies, significant reduction in pain intensity and anxiety was found. Meta‐analysis including seven studies revealed a small beneficial effect on reducing procedure length. A meta‐analysis on adverse events showed no significant reduction. Statistical heterogeneity was found among the studies included. Conclusion For patients undergoing invasive procedures, hypnotic analgesia was effective in reducing consumption of analgesics. Only a slight effect was, however, found on experienced anxiety and pain intensity. It did not prolong the procedure and was safe to provide. Relevance to clinical practice Hypnosis is recommended as pain management for adults during invasive procedures. A reduced consumption of pain medication potentially has a major impact on monitoring and observation of patients following the procedure, thus improving patient safety and reducing resource consumption.

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“…A large percentage of patients treated for AF with RFA are cured and have an enhanced quality of life compared to those treated with antiarrhythmic drugs (Pappone et al, 2011). The RFA procedure can be several hours long and typically causes varying degrees of pain and discomfort for patients (Alaeddini et al, 2007). Nevertheless, the degree of pain relief for patients with AF undergoing RFA depends on the practices of each hospital's electrophysiology centre.…”

Section: Introductionmentioning

confidence: 99%

Premedication and preoperative information reduces pain intensity and increases satisfaction in patients undergoing ablation for atrial fibrillation. A randomised controlled study

Al-Azawy

Oterhals

Fridlund

et al. 2015

Applied Nursing Research

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Site Localization and Characterization of Pain During Radiofrequency Ablation of the Pulmonary Veins

Abstract: Pain sensation is relatively common during RF ablation of PVs. There was no correlation between pain and the location of esophagus. Pain was more common during RF ablation of left inferior and left superior PVs.

Cited by 16 publications

References 12 publications

Pain Reactions during Pulmonary Vein Isolation under Deep Sedation: Cryothermal versus Radiofrequency Ablation

Pain Reactions during Pulmonary Vein Isolation under Deep Sedation: Cryothermal versus Radiofrequency Ablation

The effectiveness of hypnotic analgesia in the management of procedural pain in minimally invasive procedures: A systematic review and meta‐analysis

Premedication and preoperative information reduces pain intensity and increases satisfaction in patients undergoing ablation for atrial fibrillation. A randomised controlled study

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