Sudden mode change of permanent pacemaker during living donor liver transplantation - A case report -
Background Pacemakers assist circulation by generating electrical impulses. Patients with pacemakers scheduled to undergo surgery are vulnerable to device-related complications. Therefore, careful perioperative management is required to prevent undesirable events. Case A 66-year-old man with alcohol...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Anesthesiologists
2023-07-01
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| Series: | Anesthesia and Pain Medicine |
| Subjects: | |
| Online Access: | http://www.anesth-pain-med.org/upload/pdf/apm-22261.pdf |
| _version_ | 1797692877913980928 |
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| author | Sooyeon Lee Gaabsoo Kim |
| author_facet | Sooyeon Lee Gaabsoo Kim |
| author_sort | Sooyeon Lee |
| collection | DOAJ |
| description | Background Pacemakers assist circulation by generating electrical impulses. Patients with pacemakers scheduled to undergo surgery are vulnerable to device-related complications. Therefore, careful perioperative management is required to prevent undesirable events. Case A 66-year-old man with alcohol-related hepatocellular carcinoma was referred for liver transplantation. The pacemaker was inserted preoperatively to manage sick sinus syndrome and paroxysmal atrial fibrillation. Overall liver transplantation was performed without any adverse events. However, the pacemaker suddenly failed to provide regular pacing rhythm during abdominal closure. Fortunately, the native heart rate was maintained above 70 beats per minute and blood pressure did not fluctuate after pacing failure. After retrospective analysis, the duration setting of preoperative pacemaker reprogramming (24 h) was revealed as the cause of unexpected pacing failure. Conclusions Anesthesiologists should be alert in patients with pacemakers because minor errors may lead to inadvertent failure of pacing or severe hemodynamic instability. |
| first_indexed | 2024-03-12T02:33:57Z |
| format | Article |
| id | doaj.art-91179cf7334f42deb70be538fcb817a7 |
| institution | Directory Open Access Journal |
| issn | 1975-5171 2383-7977 |
| language | English |
| last_indexed | 2024-03-12T02:33:57Z |
| publishDate | 2023-07-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Anesthesia and Pain Medicine |
| spelling | doaj.art-91179cf7334f42deb70be538fcb817a72023-09-05T01:46:22ZengKorean Society of AnesthesiologistsAnesthesia and Pain Medicine1975-51712383-79772023-07-0118329630110.17085/apm.222611196Sudden mode change of permanent pacemaker during living donor liver transplantation - A case report -Sooyeon Lee0Gaabsoo Kim1 Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaBackground Pacemakers assist circulation by generating electrical impulses. Patients with pacemakers scheduled to undergo surgery are vulnerable to device-related complications. Therefore, careful perioperative management is required to prevent undesirable events. Case A 66-year-old man with alcohol-related hepatocellular carcinoma was referred for liver transplantation. The pacemaker was inserted preoperatively to manage sick sinus syndrome and paroxysmal atrial fibrillation. Overall liver transplantation was performed without any adverse events. However, the pacemaker suddenly failed to provide regular pacing rhythm during abdominal closure. Fortunately, the native heart rate was maintained above 70 beats per minute and blood pressure did not fluctuate after pacing failure. After retrospective analysis, the duration setting of preoperative pacemaker reprogramming (24 h) was revealed as the cause of unexpected pacing failure. Conclusions Anesthesiologists should be alert in patients with pacemakers because minor errors may lead to inadvertent failure of pacing or severe hemodynamic instability.http://www.anesth-pain-med.org/upload/pdf/apm-22261.pdfarrhythmia, cardiachemodynamic monitoringliver transplantationpacemaker, artificial |
| spellingShingle | Sooyeon Lee Gaabsoo Kim Sudden mode change of permanent pacemaker during living donor liver transplantation - A case report - Anesthesia and Pain Medicine arrhythmia, cardiac hemodynamic monitoring liver transplantation pacemaker, artificial |
| title | Sudden mode change of permanent pacemaker during living donor liver transplantation - A case report - |
| title_full | Sudden mode change of permanent pacemaker during living donor liver transplantation - A case report - |
| title_fullStr | Sudden mode change of permanent pacemaker during living donor liver transplantation - A case report - |
| title_full_unstemmed | Sudden mode change of permanent pacemaker during living donor liver transplantation - A case report - |
| title_short | Sudden mode change of permanent pacemaker during living donor liver transplantation - A case report - |
| title_sort | sudden mode change of permanent pacemaker during living donor liver transplantation a case report |
| topic | arrhythmia, cardiac hemodynamic monitoring liver transplantation pacemaker, artificial |
| url | http://www.anesth-pain-med.org/upload/pdf/apm-22261.pdf |
| work_keys_str_mv | AT sooyeonlee suddenmodechangeofpermanentpacemakerduringlivingdonorlivertransplantationacasereport AT gaabsookim suddenmodechangeofpermanentpacemakerduringlivingdonorlivertransplantationacasereport |