[Use of percutaneous anesthesia in cardiac pacemaker implantation].
OBJECTIVE
Assess the efficacy of an anesthesic cream for pacemaker implantations.


METHODS
Percutaneous anesthesia was studied in a series of permanent pacemaker transvenous implantations. The anesthesic cream composed of a mixture of lidocaine and prilocaine was applied precisely over operative areas after marking the skin. Percutaneous anesthesia should be applied 2 hours before entering the operating room.


RESULTS
This percutaneous local anesthesia was perfectly effective for simple replacement procedures. At first implantations, it was used alone in 4 out of 10 cases while intradermal injections were needed to anesthetize the deep layers in the other patients. Serum concentrations indicate very low levels which are tolerated very well.


CONCLUSIONS
Alone or combined with lidocaine infiltration, the use of an anesthesic cream is safe and effective in transvenous pacemaker surgery.
Trigano
J A
JA
Service de Cardiologie, Centre Hospitalier Universitaire Marseille nord.
Paganelli
F
F
Taramasco
V
V
Levy
S
S
Lorec
A M
AM
Blin
O
O
Bruguerolle
B
B
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000097:blood; D001919:Bradycardia / Q000097:blood / Q000628:therapy*; D004338:Drug Combinations; D005069:Evaluation Studies as Topic; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage / Q000097:blood; D008875:Middle Aged; D010138:Pacemaker, Artificial; D011318:Prilocaine / Q000008:administration & dosage / Q000097:blood
D000779:Anesthetics, Local; D004338:Drug Combinations; D011318:Prilocaine; D008012:Lidocaine