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

Publication ,  Journal Article
Lin, J-A; Borel, CO; Wang, W-B; Wong, C-S; Yeh, C-C; Yang, C-P; Wu, C-T
Published in: J Clin Anesth
August 2006

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.

Duke Scholars

Published In

J Clin Anesth

DOI

ISSN

0952-8180

Publication Date

August 2006

Volume

18

Issue

5

Start / End Page

372 / 375

Location

United States

Related Subject Headings

  • Vasoconstrictor Agents
  • Tachycardia, Ventricular
  • Pacemaker, Artificial
  • Multiple Organ Failure
  • Intraoperative Complications
  • Hypotension
  • Humans
  • Heart Massage
  • Heart Arrest
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lin, J.-A., Borel, C. O., Wang, W.-B., Wong, C.-S., Yeh, C.-C., Yang, C.-P., & Wu, C.-T. (2006). Anesthetic management of an AAI pacemaker patient with paroxysmal atrial fibrillation during colorectal surgery. J Clin Anesth, 18(5), 372–375. https://doi.org/10.1016/j.jclinane.2005.12.006
Lin, Jui-An, Cecil O. Borel, Wen-Been Wang, Chih-Shung Wong, Chun-Chang Yeh, Chih-Ping Yang, and Ching-Tang Wu. “Anesthetic management of an AAI pacemaker patient with paroxysmal atrial fibrillation during colorectal surgery.J Clin Anesth 18, no. 5 (August 2006): 372–75. https://doi.org/10.1016/j.jclinane.2005.12.006.
Lin J-A, Borel CO, Wang W-B, Wong C-S, Yeh C-C, Yang C-P, et al. Anesthetic management of an AAI pacemaker patient with paroxysmal atrial fibrillation during colorectal surgery. J Clin Anesth. 2006 Aug;18(5):372–5.
Lin, Jui-An, et al. “Anesthetic management of an AAI pacemaker patient with paroxysmal atrial fibrillation during colorectal surgery.J Clin Anesth, vol. 18, no. 5, Aug. 2006, pp. 372–75. Pubmed, doi:10.1016/j.jclinane.2005.12.006.
Lin J-A, Borel CO, Wang W-B, Wong C-S, Yeh C-C, Yang C-P, Wu C-T. Anesthetic management of an AAI pacemaker patient with paroxysmal atrial fibrillation during colorectal surgery. J Clin Anesth. 2006 Aug;18(5):372–375.
Journal cover image

Published In

J Clin Anesth

DOI

ISSN

0952-8180

Publication Date

August 2006

Volume

18

Issue

5

Start / End Page

372 / 375

Location

United States

Related Subject Headings

  • Vasoconstrictor Agents
  • Tachycardia, Ventricular
  • Pacemaker, Artificial
  • Multiple Organ Failure
  • Intraoperative Complications
  • Hypotension
  • Humans
  • Heart Massage
  • Heart Arrest
  • Female