Document Detail


Apparent pacemaker failure caused by activation of ventricular threshold test by a magnetic instrument mat during general anaesthesia.
MedLine Citation:
PMID:  1467113     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient with a permanent pacemaker underwent radical neck dissection. After induction of anaesthesia, a magnetic surgical instrument mat was placed over the patient's chest. This caused the pacemaker to go into a threshold test which included a 2.5-s period of asystole. Surgery had to be abandoned temporarily. We suggest that magnetic instrument mats should not be used with pacemaker patients; not all pacemakers are converted to a fixed magnetic rate by application of a magnet. The anaesthetist should check to see if the patient has a pacemaker with a threshold test and, if possible, this should be rendered inactive.
Authors:
J P Purday; R M Towey
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  British journal of anaesthesia     Volume:  69     ISSN:  0007-0912     ISO Abbreviation:  Br J Anaesth     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-01-28     Completed Date:  1993-01-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  645-6     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, Guy's Hospital, London.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Anesthesia, General*
Equipment Failure
Equipment Safety
Humans
Intraoperative Complications
Magnetics*
Male
Pacemaker, Artificial*
Surgical Equipment / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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