High body mass index is a risk factor for difficult deep sedation in percutaneous mitral valve repair.

ABSTRACT:

Background

The safety and efficacy of deep sedation (DS) in MitraClip® procedures have been shown previously. However, clinical experience demonstrates that in some patients DS is difficult to achieve. We hypothesize that some patient characteristics can predict difficult DS.

Methods

We prospectively analysed 69 patients undergoing MitraClip® procedures using DS. Application of DS was graded as simple (group 1) or difficult (group 2) depending on a cumulative score based on one point for each of the following criteria: decrease in oxygen saturation, retention of carbon dioxide, disruptive body movements, and the need for catecholamines. Patients with one point or less were classified as group 1, and patients with two or more points were classified as group 2.

Results

SUBMITTER: Hellhammer K 

PROVIDER: S-EPMC5755851 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature