Sameera Vattipalli, Pandia Mihir P, Bindu Barkha, Goyal Keshav
Department of Neuroanesthesia, All India Institute of Medical Sciences, New Delhi, India.
Saudi J Anaesth. 2018 Oct-Dec;12(4):634-636. doi: 10.4103/sja.SJA_125_18.
Patients with permanent pacemaker posted for cervical spine instrumentation pose special challenges for modern-day anesthesiologist since the field of surgery is in proximity to the pacing apparatus. The important considerations in this regard are pacemaker dependency, prior reprogramming to asynchronous mode, perioperative interference with pacemaker function due to electrolyte, acid-base disturbances, and electromagnetic interference leading to pacemaker failure and hemodynamic compromise. We report successful anesthetic management of a patient of postlaminectomy kyphosis with compressive myelopathy with permanent pacemaker who underwent C5-C6 corpectomy and instrumentation under general anesthesia.
因手术区域靠近起搏器装置，拟行颈椎器械固定术的永久性起搏器患者给现代麻醉医生带来了特殊挑战。在这方面的重要考虑因素包括起搏器依赖、预先重新编程为非同步模式、围手术期因电解质、酸碱紊乱及电磁干扰导致起搏器功能受影响，进而引发起搏器故障和血流动力学不稳定。我们报告了1例永久性起搏器植入术后椎板切除后脊柱后凸伴压迫性脊髓病患者，在全身麻醉下接受C5 - C6椎体次全切除及器械固定术时的成功麻醉管理。
