Document Detail

Electrocautery-induced asystole in a scoliosis patient with a pacemaker.
MedLine Citation:
PMID:  17159528     Owner:  NLM     Status:  MEDLINE    
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.
Joshua G Bales; Jimmie Colon; Usha Ramadhyani; Elma LeDoux; James T Bennett
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics. Part B     Volume:  16     ISSN:  1060-152X     ISO Abbreviation:  J Pediatr Orthop B     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2006-12-12     Completed Date:  2007-03-16     Revised Date:  2012-09-17    
Medline Journal Info:
Nlm Unique ID:  9300904     Medline TA:  J Pediatr Orthop B     Country:  United States    
Other Details:
Languages:  eng     Pagination:  19-22     Citation Subset:  IM    
Tulane University School of Medicine, New Orleans, Louisiana 70112, USA.
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MeSH Terms
Electrocoagulation / adverse effects*
Heart Arrest / etiology*
Heart Block / congenital,  therapy
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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