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Case Reports
. 2022 Jan-Mar;25(1):93-96.
doi: 10.4103/aca.ACA_94_20.

Epicardial pacemaker insertion in a preterm very low birth weight neonate - An anaesthetic challenge

Avneet Singh  1 , Ganesh Kumar  1 , Kulbhushan Saini  1 , Gangadharan Prabhakaran  1
Affiliations
Case Reports

Epicardial pacemaker insertion in a preterm very low birth weight neonate - An anaesthetic challenge

Avneet Singh et al. Ann Card Anaesth. 2022 Jan-Mar.

Abstract

Congenital complete heart block (CCHB) has an incidence of one in 20,000 live births and carries a 20% risk of mortality. The hemodynamic instability due to bradycardia and asystole due to the increasing metabolic demands can be avoided by appropriate antenatal planning, timely delivery and initiation of medical treatment and early pacemaker insertion. In this report, we discuss the anaesthetic challenges of permanent epicardial pacemaker insertion with good outcomes in a 32-week gestational age 1380 grams neonate within a few hours of birth.

Keywords: Permanent pacemaker; preterm; very low birth weight.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
Vitals and physical examination findings of the neonate after birth
Figure 2
Figure 2
Intraoperative hemodynamic parameters (a), postoperative babygram showing the pacemaker generator in the epigastric region (b), postoperative electrocardiogram showing normal electrical capture with heart rate of 120 bpm (c)
See this image and copyright information in PMC

References

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