Safety and Feasibility of Deep Sedation With a Tulip Airway and Jaw Elevation Device During Electrophysiology Procedures: A Single-Center Experience of 647 Consecutive Cases.

BACKGROUND: Safe and stable deep sedation is essential for electrophysiology procedures. We developed a propofol-free deep sedation protocol using the Tulip airway and a jaw elevation device (JED). METHODS: This single-center retrospective study analyzed 647 consecutive patients without an anticipated difficult airway (634 atrial fibrillation ablation; 13 left atrial appendage closure) who underwent deep sedation. Endpoints included procedural completion, conversion to intubation, sedation discontinuation, and procedure-related complications. RESULTS: All procedures were completed. One (0.2%) patient required intubation, and 3 (0.5%) experienced procedure-related complications. CONCLUSION: Deep sedation with the Tulip airway and JED was safe and feasible in selected lower-risk patients.