Gayot J, Saint-Pol A-L, Degryse C, Sztark F
Service d'anesthésie réanimation 1, université Bordeaux-Segalen, hôpital Pellegrin, CHU de Bordeaux, 33076 Bordeaux cedex, France.
Service d'anesthésie réanimation 1, université Bordeaux-Segalen, hôpital Pellegrin, CHU de Bordeaux, 33076 Bordeaux cedex, France.
Ann Fr Anesth Reanim. 2014 Apr;33(4):266-8. doi: 10.1016/j.annfar.2014.02.005. Epub 2014 Mar 14.
The number of patients with cardiac pacemaker is continuously increasing. The anesthetic management of these patients is often trivialized, particularly during minor surgery. However there is always a potential risk of dysfunction during anesthesia. Perioperative management of these patients must be careful and standardized to avoid accidents. We report a case of cardiac arrest during general anesthesia for a day-surgery secondary to pacemaker dysfunction by increasing pacing thresholds in a young adult patient. Rapid onset after induction, without any surgical stimulation, has raised the question of the involvement of anesthetic drugs like propofol.
植入心脏起搏器的患者数量在持续增加。对这些患者的麻醉管理常常被轻视，尤其是在小型手术期间。然而，麻醉过程中始终存在功能障碍的潜在风险。对这些患者的围手术期管理必须谨慎且规范，以避免事故发生。我们报告一例在一名年轻成年患者中，因起搏器功能障碍致起搏阈值升高，在日间手术全身麻醉期间发生心脏骤停的病例。诱导后迅速发作，无任何手术刺激，这引发了关于丙泊酚等麻醉药物是否参与其中的疑问。
