ELECTROCAUTERY-INDUCED PACEMAKER MALFUNCTION DURING SURGERY

被引:51
作者
MANGAR, D [1 ]
ATLAS, GM [1 ]
KANE, PB [1 ]
机构
[1] SUNY HLTH SCI CTR,SYRACUSE,NY
来源
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE | 1991年 / 38卷 / 05期
关键词
COMPLICATIONS; ARRHYTHMIA; ARREST; CARDIAC; EQUIPMENT; CAUTERY; PACEMAKERS; HEART; PACEMAKER; ARTIFICIAL;
D O I
10.1007/BF03008198
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We report a case of electrocautery-induced pacemaker failure that resulted in asystole in a 15-year-old girl scheduled for cardiac surgery. Her pacemaker was converted to the asynchronous mode the night before surgery. Electromagnetic interference from the unipolar electrocautery caused a reducion in the battery voltage, which allowed the digital circuitry, but not the voltage control oscillator (VCO), to work properly. Eventually the battery current drain caused VCO "lock-out," and pacemaker and battery failure. This report demonstrates that electrocautery-induced pacemaker failure can occur, even after conversion to asynchronous mode.
引用
收藏
页码:616 / 618
页数:3
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