Document Detail

Anesthetic implications of implanted pacemakers: a case study.
MedLine Citation:
PMID:  7631576     Owner:  NLM     Status:  MEDLINE    
Pacemakers and the underlying pathophysiologies leading to their implantation present challenges to the anesthetist. This case report discusses the anesthetic management of a patient with an implanted pacemaker. A case is presented of an 80-year-old female who was found unresponsive in a parking lot. She was diagnosed with a right parietal subdural hematoma. She underwent an emergency craniotomy for evacuation of the hematoma. Upon placing the patient on an electrocardiograph, a ventricular paced rhythm was revealed. Pacemakers are most frequently implanted to initiate electrical activity in a heart unable to maintain its own automaticity. Patients with pacemakers may be unable to react to situations requiring increased cardiac outputs by increasing the heart rate. Depending upon the type of pacemaker present, patients may suffer from diminished cardiac output due to the loss of the "atrial kick." Pacemakers can also be affected by electromagnetic interference from devices used during surgery, particularly the electrosurgical unit. This paper discusses anesthetic management in individuals with implanted permanent pacemakers.
M R Baller; K M Kirsner
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  AANA journal     Volume:  63     ISSN:  0094-6354     ISO Abbreviation:  AANA J     Publication Date:  1995 Jun 
Date Detail:
Created Date:  1995-09-07     Completed Date:  1995-09-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0431420     Medline TA:  AANA J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  209-16     Citation Subset:  N    
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MeSH Terms
Aged, 80 and over
Anesthesia / methods*
Hematoma, Subdural / surgery*
Monitoring, Intraoperative
Nurse Anesthetists
Pacemaker, Artificial*

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