Bailey A G, Lacey S R
Department of Anesthesiology, University of North Carolina, School of Medicine, Chapel Hill 27599-7010.
Can J Anaesth. 1991 Oct;38(7):912-3. doi: 10.1007/BF03036973.
Pacemakers in children can present clinical challenges during surgery. We present a case report of an infant whose pacemaker reverted to a backup mode when electrocautery was used during surgery. The resulting bradycardia did not respond either to a magnet placed over the generator or to iv atropine. The circulation was supported by isoproterenol until the pacemaker was re-programmed by the manufacturer. Such devices require care and understanding if problems during surgery are to be avoided.
儿童起搏器在手术过程中可能会带来临床挑战。我们报告一例婴儿病例，该婴儿在手术中使用电灼时起搏器切换到了备用模式。由此产生的心动过缓对置于发生器上的磁铁或静脉注射阿托品均无反应。在制造商重新对起搏器进行编程之前，通过异丙肾上腺素维持循环。如果要避免手术期间出现问题，就需要小心处理并了解此类设备。
