Temporary Transvenous Pacemakers

Mollenkopf, Fred P.; Rhine, David; Dandapantula, Hari Kumar

doi:10.1007/978-3-319-25286-5_16

Cited by 1 publication

(2 citation statements)

References 14 publications

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“…At the end of the procedure, the catheter remained anchored by sutures with a sterile dressing over the entry site. Chest X-ray (CXR) confirmed the placement of the transvenous pacemaker lead in the right ventricle, as demonstrated in Figure 2 [ 4 - 5 ]. The patient tolerated the procedure well and with no complications.…”

Section: Case Presentationmentioning

confidence: 99%

“…The 5F balloon-tipped pacer catheter with balloon inflated (covered in a sterile sleeve) was advanced using fluoroscopic guidance until it reached the right ventricle apex at approximately 40 centimeters. The balloon was deflated and the capture of pacer function was verified down to 1.5 milliamps as illustrated in Figure 1 [ 4 - 5 ]. The pacer controller was then placed at 10 milliamps output for intraoperative pacing.…”

Section: Case Presentationmentioning

confidence: 99%

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Elective Inguinal Hernia Surgery in the Setting of Unfollowed Congenital Complete Heart Block With No Postponement

Varkoly

Beladi

Ritrosky

2020

Cureus

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Most preoperatively discovered complete heart block cases without cardiac clearance in a non-emergent situation are managed with deferral of elective surgery until a cardiology workup can be completed. The medical consequences of surgical delays can manifest in increased costs to the healthcare system via the treatment of more advanced disease, often requiring more intense and more costly treatment in addition to the emotional burden of delay on a patient that has been waiting months for a particular surgery. Delays in surgery have real impacts on patient health outcomes, hospital finances, and patient satisfaction. We present a rare case in which a proactive anesthesiologist was able to take measures to stratify patient safety risk and safely prevent the delay of the surgery in an asymptomatic and unfollowed congenital thirddegree heart block patient. The anesthesiologist demonstrates the use of established guidelines for nonelective noncardiac surgery to safely and effectively prevent the delay of an elective inguinal hernia repair in the setting of a situation that normally warrants its delay. Using these pre-and intraoperative measures, the anesthesiologist was able to prevent the delay of elective surgery, and this should set a precedent of the necessary steps involved to safely manage a patient with an unfollowed third-degree congenital heart block.

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Section: Case Presentationmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%