What is it about?

Dexmedetomidine is an excellent sedative and analgesic agent. This study demonstrated that this agent can be used for electrophysiological studies.

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Why is it important?

It has long been thought that dexmedetomidine is contraindicated for electrophysiological studies due to its effect on the cardiac conduction system. Although those effects are real, they do not preclude the drug's use.

Perspectives

I hope EP practitioners and cardiac anesthesiologists will not automatically discount the use of dexmedetomidine for electrophysiological studies and ablations in patient with supra ventricular tachyarrhythmias. We have used it successfully in hundreds of patients without untoward side effects.

Dr. Christopher F Tirotta
Nicklaus Children's Hospital

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This page is a summary of: Dexmedetomidine use in patients undergoing electrophysiological study for supraventricular tachyarrhythmias, Pediatric Anesthesia, October 2016, Wiley,
DOI: 10.1111/pan.13019.
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