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Ann Fr Anesth Reanim · Apr 2014
Case Reports[Cardiac arrest secondary to pacemaker dysfunction during general anesthesia in a young adult patient.]
- J Gayot, A-L Saint-Pol, and C Degryse.
- Service d'anesthésie réanimation 1, université Bordeaux-Segalen, hôpital Pellegrin, CHU de Bordeaux, 33076 Bordeaux cedex, France.
- Ann Fr Anesth Reanim. 2014 Apr 1;33(4):266-8.
AbstractThe number of patients with cardiac pacemaker is continuously increasing. The anesthetic management of these patients is often trivialized, particularly during minor surgery. However there is always a potential risk of dysfunction during anesthesia. Perioperative management of these patients must be careful and standardized to avoid accidents. We report a case of cardiac arrest during general anesthesia for a day-surgery secondary to pacemaker dysfunction by increasing pacing thresholds in a young adult patient. Rapid onset after induction, without any surgical stimulation, has raised the question of the involvement of anesthetic drugs like propofol.Copyright © 2014 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.
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