| Electromagnetic interference in a cardiac pacemaker during cauterization with the coagulating, not cutting mode. | |
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MedLine Citation:
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PMID: 22096289 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Electromagnetic interference in pacemakers has almost always been reported in association with the cutting mode of monopolar electrocautery and rarely in association with the coagulation mode. We report a case of electrocautery-induced electromagnetic interference with a DDDR pacemaker (dual-chamber paced, dual-chamber sensed, dual response to sensing, and rate modulated) in the coagulating and not cutting mode during a spine procedure. We also discuss the factors affecting intraoperative electromagnetic interference. A 74-year-old man experienced intraoperative electromagnetic interference that resulted in asystole caused by surgical electrocautery in the coagulation mode while the electrodispersive pad was placed at different locations and distances from the operating site (This electromagnetic interference did not occur during the use of the cutting mode). However, because of careful management, the outcome was favorable. Clinicians should be aware that the coagulation mode of electrocautery can cause electromagnetic interference and hemodynamic instability. Heightened vigilance and preparedness can ensure a favorable outcome. |
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Authors:
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Basem Abdelmalak; Narasimhan Jagannathan; Faisal D Arain; Susan Cymbor; Robert McLain; John E Tetzlaff |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of anaesthesiology, clinical pharmacology Volume: 27 ISSN: 0970-9185 ISO Abbreviation: J Anaesthesiol Clin Pharmacol Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-11-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9516972 Medline TA: J Anaesthesiol Clin Pharmacol Country: India |
Other Details:
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Languages: eng Pagination: 527-30 Citation Subset: - |
Affiliation:
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Department of General Anesthesiology and Outcomes Research, Cleveland Clinic, Cleveland, OH, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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