{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:07:43Z","timestamp":1790006863041,"version":"4.0.1"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:p>OBJETIVO: Comparar seda\u00e7\u00e3o profunda com anestesia geral para abla\u00e7\u00e3o curativa de fibrila\u00e7\u00e3o atrial. M\u00c9TODOS: Estudo prospectivo, aleat\u00f3rio, com 32 pacientes, idades entre 18 e 65 anos, ASA 2 e 3, IMC d\" 30kg\/m\u00b2, distribu\u00eddos em dois grupos: seda\u00e7\u00e3o profunda (G1) e anestesia geral (G2). Todos receberam midazolan (0,5mg\/kg) venoso. O G1 recebeu propofol (1mg\/kg) e m\u00e1scara facial de O2, seguido da infus\u00e3o cont\u00ednua de propofol (25-50mg\/kg\/min) e remifentanil (0,01-0,05\u00b5g\/kg\/min). O G2 recebeu propofol (2mg\/kg) e m\u00e1scara lar\u00edngea com tubo de drenagem, seguido da infus\u00e3o cont\u00ednua de propofol (60-100mg\/kg\/min) e remifentanil (0,06-0,1\u00b5g\/kg\/min). Foram comparados: frequ\u00eancia card\u00edaca, press\u00e3o arterial invasiva, complica\u00e7\u00f5es, recidiva (desfecho) em tr\u00eas meses e gasometrias. RESULTADOS: Os pacientes do G1 apresentaram gasometrias arteriais com n\u00edveis de PaCO2 maiores e pH menores (p=0,001) e maior incid\u00eancia de tosse. Ocorreu diminui\u00e7\u00e3o da PAM e FC no G2. Exceto a tosse, as complica\u00e7\u00f5es e recidivas foram semelhantes em ambos os grupos. CONCLUS\u00c3O: Ambas as t\u00e9cnicas podem ser utilizadas para a abla\u00e7\u00e3o curativa da fibrila\u00e7\u00e3o atrial. A anestesia geral proporcionou menores altera\u00e7\u00f5es respirat\u00f3rias e maior imobilidade do paciente.<\/jats:p>","DOI":"10.1590\/s0100-69912012000600004","type":"journal-article","created":{"date-parts":[[2013,1,23]],"date-time":"2013-01-23T04:41:08Z","timestamp":1358916068000},"page":"462-468","source":"Crossref","is-referenced-by-count":11,"title":["Abla\u00e7\u00e3o curativa da fibrila\u00e7\u00e3o atrial: compara\u00e7\u00e3o entre seda\u00e7\u00e3o profunda e anestesia geral"],"prefix":"10.1590","volume":"39","author":[{"given":"Elizabeth Bessadas Penna","family":"Firme","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismar Lima","family":"Cavalcanti","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense, BR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Barrucand","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro, BR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra Rezende","family":"Assad","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense, BR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nubia Ver\u00e7osa","family":"Figueiredo","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro, BR"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"24","key":"ref1","doi-asserted-by":"crossref","first-page":"2296","DOI":"10.1056\/NEJMct1109977","article-title":"Catheter ablation for atrial fibrilation","volume":"365","author":"Wazni O","year":"2011","journal-title":"N Engl J Med."},{"issue":"20","key":"ref2","doi-asserted-by":"crossref","first-page":"2264","DOI":"10.1161\/CIRCULATIONAHA.111.019893","article-title":"Atrial fibrillation pathophysiology: implications for management","volume":"124","author":"Iwasaki YK","year":"2011","journal-title":"Circulation."},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1161\/CIRCEP.109.859116","article-title":"Update worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation","volume":"3","author":"Cappato R","year":"2010","journal-title":"Circ Arrhythm Electrophysiol."},{"issue":"34","key":"ref4","doi-asserted-by":"crossref","first-page":"iii","DOI":"10.3310\/hta12340","article-title":"Curative catheter ablation in atrial fibrillation and typical atrial flutter: systematic review and economic evaluation","volume":"12","author":"Rodgers M","year":"2008","journal-title":"Health Technol Assess."},{"key":"ref5","article-title":"Interventions for the treatment of atrial fibrillation: A systematic literature review and meta-analysis","author":"Sullivan SD","year":"2012","journal-title":"Int J Cardiol."},{"key":"ref6","first-page":"S48","article-title":"Interventional therapy of atrial fibrillation: possibilities and limitations","volume":"135 Suppl 2","author":"Willems S","year":"2010","journal-title":"Dtsch Med Wochenschr."},{"issue":"2","key":"ref7","first-page":"163","article-title":"Low risk of major complications associated with pulmonary vein antral isolation for atrial fibrillation: results of 500 consecutive ablation procedures in patients with low prevalence of structural heart disease from a single center","volume":"22","author":"Lee G","year":"2011","journal-title":"J Cardiovasc Electrophysiol."},{"issue":"10","key":"ref8","doi-asserted-by":"crossref","first-page":"2305","DOI":"10.1253\/circj.CJ-11-0658","article-title":"Catheter ablation of atrial fibrillation","volume":"75","author":"Kumagai K","year":"2011","journal-title":"-State of the Art-. 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