Anesthetic management of an AAI pacemaker patient with paroxysmal atrial fibrillation during colorectal surgery

Jui An Lin, Cecil O. Borel, Wen Been Wang, Chih Shung Wong, Chun Chang Yeh, Chih Ping Yang, Ching Tang Wu

研究成果: 雜誌貢獻文章

3 引文 斯高帕斯(Scopus)

摘要

Perioperative management of patients with cardiac pacemakers may be challenging because of the increasing sophistication of these devices. We report a case of a patient with paroxysmal atrial fibrillation (PAF) and with a permanent AAIR (bipolar atrial-inhibited adaptive rate) pacemaker who suffered life-threatening episodes of arrhythmias during operation. The first episode was vagally induced PAF during bowel manipulation; the second, induced by the increased pacing threshold from the external electric cardioversion and hyperkalemia. Transcutaneous pacing provided cardiac pacing and stabilized the patient during the second episode. Thorough preoperative evaluation and prophylactic placement of temporary pacing or at least transcutaneous pacing are important for the avoidance and minimization of intraoperative complications in patients with sick sinus syndrome and with an AAI (atrial inhibited) pacemaker.

原文英語
頁(從 - 到)372-375
頁數4
期刊Journal of Clinical Anesthesia
18
發行號5
DOIs
出版狀態已發佈 - 八月 2006
對外發佈Yes

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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