How is this decision made? [www.medscape.com] https://www.afibbers.org/forum/read.php?9,199471,199471#msg-199471 Mon, 27 Jul 2026 21:04:27 +0000 Phorum 5.2.23 https://www.afibbers.org/forum/read.php?9,199471,199886#msg-199886 https://www.afibbers.org/forum/read.php?9,199471,199886#msg-199886
Personally, I would take conscious sedation over GA any day, if offered, but hard to find an ep in the US offering it, although there are a few. Conscious sedation is safer overall because it avoids intubation, allows natural breathing, and leads to faster recovery. In seniors, it also reduces the risk of postoperative cognitive dysfunction, a real problem. Personally, I was in a fog for many months after my PVI using Propofol, even without a breathing tube.

So why do US ep's use GA over conscious sedation? They will tell you it's because it keeps the patient still for mapping and burning, etc, but in reality European ep's get the same results with conscious sedation. So it's really more about habit and ep convenience, than anything else.

Jim]]> mjamesone AFIBBERS FORUM Thu, 17 Jul 2025 21:32:58 +0000 https://www.afibbers.org/forum/read.php?9,199471,199475#msg-199475 https://www.afibbers.org/forum/read.php?9,199471,199475#msg-199475
I talked to a patient in the waiting room who was fully awake. She said it was worst than childbirth.
There has to be another solution?]]> susan.d AFIBBERS FORUM Sun, 18 May 2025 01:13:58 +0000 https://www.afibbers.org/forum/read.php?9,199471,199473#msg-199473 https://www.afibbers.org/forum/read.php?9,199471,199473#msg-199473 Daisy AFIBBERS FORUM Sat, 17 May 2025 21:34:25 +0000 https://www.afibbers.org/forum/read.php?9,199471,199472#msg-199472 https://www.afibbers.org/forum/read.php?9,199471,199472#msg-199472 www.ahajournals.org]]]> GeorgeN AFIBBERS FORUM Sat, 17 May 2025 20:45:12 +0000 https://www.afibbers.org/forum/read.php?9,199471,199471#msg-199471 https://www.afibbers.org/forum/read.php?9,199471,199471#msg-199471
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