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Canadian Journal of Anesthesia, Vol 38, 912-913, Copyright © 1991 by Canadian Anesthesiologists' Society

ARTICLES

Intraoperative pacemaker failure in an infant

AG Bailey and SR Lacey
Department of Anesthesiology, University of North Carolina, School of Medicine, Chapel Hill 27599-7010.

Pacemakers in children can present clinical challenges during surgery. We present a case report of an infant whose pacemaker reverted to a backup mode when electrocautery was used during surgery. The resulting bradycardia did not respond either to a magnet placed over the generator or to iv atropine. The circulation was supported by isoproterenol until the pacemaker was re-programmed by the manufacturer. Such devices require care and understanding if problems during surgery are to be avoided.


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M. R. Epstein, J. E. Mayer Jr, and B. W. Duncan
Use of an Ultrasonic Scalpel as an Alternative to Electrocautery in Patients With Pacemakers
Ann. Thorac. Surg., June 1, 1998; 65(6): 1802 - 1804.
[Abstract] [Full Text] [PDF]


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Copyright © 1991 by the Canadian Anesthesiologists' Society.