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Orthopedic Surgery in A Patient with Implantable Electronic Device - A Case Report

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Last updated: 27 Apr 2025

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Abstract

Background: In this case report we have a patient with an implanted permanent pacemaker for a non cardiac surgery, we discuss in brief about implantable electronic devices and the techniques used to minimize the risk of perioperative cardiac events.
Case Presentation: A 66 year old hypertensive lady with a permanent pacemaker implanted as a treatment for AV block. Her effort tolerance was adequate and blood tests were within normal limits. Pacemaker settings were appropriately changed prior to procedure. Standard ASA monitors including continuous ECG monitoring, pulse oximetry, and arterial blood pressure monitoring was applied. General anesthesia was administered to this patient and intraoperative period was uneventful. Pacemaker settings were changed back to original postoperatively. Postoperative period was uneventful. She was discharged after 5 days of hospital stay.
Conclusions: A thorough history and examination along with basic knowledge about functioning of implantable cardiac devices will enable a safe conduct of anesthesia.

DOI

10.21608/asja.2024.280234.1090

Keywords

general anesthesia, non cardiac surgery, Pacemaker

Authors

First Name

Shivangi

Last Name

Sharma

MiddleName

-

Affiliation

Postgraduate Resident, Departement of Anaesthesiology, MM institute of Medical Science and Research, Mullana, Ambala, Haryana, India

Email

shivisharma97@gmail.com

City

-

Orcid

0009-0009-4016-5399

First Name

Babita

Last Name

Ramdev

MiddleName

-

Affiliation

Professor, MM Institute of Medical Science and Research, Mullana, Ambala, Haryana, India

Email

babitaramdev30@gmail.com

City

-

Orcid

0000-0002-6092-6177

First Name

Amandeep

Last Name

Kaur

MiddleName

-

Affiliation

Assistant Professor, Department of Anaesthesiology, MM Institute of Medical Science and Research, Mullana, Ambala, Haryana, India

Email

rajju904@gmail.com

City

-

Orcid

0009-0007-7410-9040

First Name

Ravi

Last Name

Mannan

MiddleName

-

Affiliation

Postgraduate Resident, Departement of Anaesthesiology, MM institute of Medical Science and Research, Mullana, Ambala, Haryana, India

Email

ravimannan21@gmail.com

City

-

Orcid

0009-0009-6668-8534

First Name

Bhavya

Last Name

Sharma

MiddleName

-

Affiliation

Postgraduate Resident, Departement of Anaesthesiology, MM institute of Medical Science and Research, Mullana, Ambala, Haryana, India

Email

sharma.bhavya17@gmail.com

City

-

Orcid

0009-0001-0288-2962

First Name

Lalit

Last Name

Kumar

MiddleName

-

Affiliation

Department of Anaesthesiology, MM Institute of Medical Science and Research, Mullana, Ambala, Haryana, India

Email

drlalitchahar140@gmail.com

City

-

Orcid

0009-0007-1869-9701

First Name

Archit

Last Name

Sharma

MiddleName

-

Affiliation

Government Medical College and Hospital, Sector-32, Chandigarh, India

Email

archit2801@gmail.com

City

-

Orcid

0000-0002-4314-0260

Volume

17

Article Issue

1

Related Issue

52828

Issue Date

2025-01-01

Receive Date

2024-04-05

Publish Date

2025-01-01

Page Start

1

Page End

4

Print ISSN

1687-7934

Online ISSN

2090-925X

Article File

ASJA_Volume 17_Issue 1_Pages 1-4.pdf

PDF . 222.9kB

Link

https://asja.journals.ekb.eg/article_422924.html

Detail API

http://journals.ekb.eg?_action=service&article_code=422924

Order

422,924

Type

Case report

Type Code

2,883

Publication Type

Journal

Publication Title

Ain-Shams Journal of Anesthesiology

Publication Link

https://asja.journals.ekb.eg/

MainTitle

Orthopedic Surgery in A Patient with Implantable Electronic Device - A Case Report

Details

Type

Article

Created At

27 Apr 2025