Title: Non-Cardiac Surgery in a Paediatric Patient with Permanent Pacemaker – Anaesthetic Implications
Authors: Dr A. Rajithasri, Dr Krishna Chaithanya, Dr Mushahida
DOI: https://dx.doi.org/10.18535/jmscr/v8i1.18
Abstract
Children with permanent pacemaker coming for non-cardiac surgeries is a rare presentation. Anaesthetic management should be planned preoperatively as per patient’s medical status and careful monitoring should be done preoperatively. We hereby present a case of 9 year old female child with permanent cardiac pacemaker posted for Maxillary cyst Enucleation.
Keywords: Pacemaker, Paediatric patients, Anaesthetic implications, Complete heart block.
References
- V.Salukhe, D. Dob, R. SuttonBr J Anesth 2004; 93:95-104.
- Rastogi S, Goel S, Tempe DK, Virmani S. Anaesthetic management of patients with cardiac pacemakers and defibrillators for non-cardiac surgery. Annals of cardiac anaesthesia 2005; 8: 21-32.
- Gregoratos G, Abrams J, Epstein AE, et al. ACC/AHA/NASPE 2002. Guideline update for implantation of cardiac pacemaker and Antiarrhythmia devices- Summary article (a report of the ACC/ AHA/NASPE committee to update the 1998 pacemaker guidelines) J Am Coll Cardiol2002; 40: 1703-1719.
- Hayes DL, Zipes DP. Cardiac pacemakers and cardioverter-defibrillator. In: Braunwald E, Heart Disease6th edition, Philadelphia, WB Saunders, 2001; 7775-814.
- Atlee JL, Cardiac pacing and electroversion. In: Kaplan JA, ed Cardiac Anesthesia, 4th edition Philadelphia, WB Saunders, 1999; 959-89.
- Senthuran S, Toff WD, VuylstekeA, Solesbury PM, Menon DK. Implanted cardiac pacemakers and defibrillators in anaesthetic practice. Br J Anaesth2002; 88:627-31.
- Finfer SR. Pacemaker failure on induction of anaesthesia.Br J Anaesth 1991; 66: 509-12.
- Irnich W. Pacemaker related patient Pace1999; 22: 1279-83.
- Levine PA, Balady GJ, Lazar HL, Belott PH, Robert AJ. Electrocautery and pacemakers: management of the paced patient subject to electrocautery. Ann Thorac Surg 1986; 41: 313-7.
- Okan Erdogan, Electromagnetic Interference on Pacemakers. Indian Pacing and Electrophysiology Journal (ISSN 0972-6292), 2(3): 74-78 (2002).
- Ramon-Gonzalez J, Hyberger LK, Hayes DL. Is electrocautery still a clinically significant problem with contemporary technology. Pace 2001; 24: 709.
- ASA Task Force Anaesthesiology 2005; 103:186– 98.