0435: Anesthesia in ablation procedures is differently proposed in public and private centers. The French Electra survey

Goal to evaluate routine anesthesia strategy in ablation procedures by French electrophysiologists (EPs). Method A questionnaire was e-mailed to 110 French EP. Results Answers were obtained from 95 EP (86.4%): 25% working in a private center, 75% in a public center. Anesthesiologists are always available in 70.8% of private centers vs 11.4% of public centers. When available, 54.2% are entirely dedicated to electrophysiology in private vs 18.6% in public centers. When an anesthesiologist is not available, sedation is obtained using midazolam associated with nalbuphin (32%), morphine (16%) or fentanyl (9%). Propofol is used occasionally by 29% of EPs (35% in public, 9% in private centers). Nitrous oxide inhalation gas is available in 40% of private and 34.3% of public centers. Private EPs are satisfied with the anesthesiologist strategy in 100% of cases versus only 41% of public EP. A good or very good relationship with anesthesiologists is declared by 92% of private EPs versus only 56% of public EPs. Conclusions Collaboration of anesthesiologists with EPs seems to be more operational in private centers. Deep sedation seems to be used as an alternative when anesthesiologists are not available more often in public centers.