Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Dr, Department of Anesthesiology, Nippon Medical School, Tokyo, Japan
Dr. Hiroaki Kishikawa is a professor in the Department of Anesthesiology, Nippon Medical School, Tokyo, Japan. His study interests major in Anesthesiology, Research in Anesthesiology, Advances in Anesthesiology. In recent years, he has studied several studies including Advances in Anesthesia, epidemiology, and aesthetic Technology. Currently, Dr. Hiroaki Kishikawa is the author/editor/reviewer in several international journals. He published 15 articles in many journals and the articles are informative and got good citations.
Case Report
Management of Third-degree Atrioventricular Block with Intraoperative Transvenous Temporary Pacemaker
Author(s): Tomonori Morita*, Hiroaki Kishikawa and Atsuhiro Sakamoto
Herein, we report the case of an 82-year-old man with colon cancer and perioperative emphysemas, who manifested a
difficult to manage complete atrioventricular (AV) block during alaparoscopic colectomy. The patient’s heart rate
decreased to 40 beats per minute with a third-degree AV block. The intravenous administration of atropine was not
effective. We used a transcutaneous pacemaker (TCP), and increased the current amplitude, but found no notable
capture. We tried management using a transvenous temporary pacemaker, and the patient became hemodynamically
stable. We discharged him without signs of neurological complications. The intraoperative hemodynamic
management of complete AV blocks with TCPs has not been adequately discussed... View More»
DOI:
10.35248/2155-6148.20.11.963