| Electrocautery-induced asystole in a scoliosis patient with a pacemaker. | |
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MedLine Citation:
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PMID: 17159528 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pediatric heart condition management may include a variety of implanted cardiac devices. Monopolar electrocautery (Bovie) produces significant electromagnetic interference to these devices. This interference can alter the function of a cardiac generator resulting in a variety of complications including impaired cardiac output and asystole. We report the case of a 16 plus 2-year-old girl who presented with idiopathic scoliosis and a past medical history significant for complete congenital heart block treated with a DDD*** pacemaker. During surgery, the use monopolar electrocautery caused the patient to develop asystole and loss of pulsatile blood pressure. Electrocautery was subsequently terminated, the patient then returned to a normal sinus rhythm and blood pressure normalized. |
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Authors:
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Joshua G Bales; Jimmie Colon; Usha Ramadhyani; Elma LeDoux; James T Bennett |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of pediatric orthopedics. Part B Volume: 16 ISSN: 1060-152X ISO Abbreviation: J Pediatr Orthop B Publication Date: 2007 Jan |
Date Detail:
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Created Date: 2006-12-12 Completed Date: 2007-03-16 Revised Date: 2012-09-17 |
Medline Journal Info:
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Nlm Unique ID: 9300904 Medline TA: J Pediatr Orthop B Country: United States |
Other Details:
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Languages: eng Pagination: 19-22 Citation Subset: IM |
Affiliation:
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Tulane University School of Medicine, New Orleans, Louisiana 70112, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Electrocoagulation / adverse effects* Female Heart Arrest / etiology* Heart Block / congenital, therapy Humans Intraoperative Complications Pacemaker, Artificial* Scoliosis / surgery* Spinal Fusion |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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