Richard J P, Conil J M, Antonini A, Bareille P
Ann Fr Anesth Reanim. 1986;5(1):72-3. doi: 10.1016/s0750-7658(86)80127-7.
Following a new case of inhibition of a sentinel pacemaker by the cutting current of an electrocoagulator during endoscopic urologic surgery, the mechanism of this complication is recalled. The non-selectivity of the pacemaker detector circuit is responsible for interpreting the electrical disturbances due to the electrocoagulator as cardiac activity. The problems seen with other types of stimulators are discussed, especially programmable stimulation where the use of a magnet can lead to variations in the stimulator frequency. The stimulating wire can also be responsible for accidents, such as myocardial burns, and rhythm disturbances. The safety rules for the use of the electrocoagulator in patients with a non programmable sentinel pacemaker.
在内镜泌尿外科手术期间，发生了一例电凝器的切割电流抑制哨兵起搏器的新病例后，回顾了这一并发症的机制。起搏器检测电路的非选择性导致将电凝器引起的电干扰解读为心脏活动。讨论了其他类型刺激器出现的问题，特别是可编程刺激，其中使用磁铁可能导致刺激器频率变化。刺激导线也可能导致诸如心肌烧伤和节律紊乱等事故。在使用不可编程哨兵起搏器的患者中使用电凝器的安全规则。
