Intraoperative use of automated external defibrillator.
We report on the anesthetic management of a patient with peripartum cardiomyopathy and frequent episodes of ventricular tachycardia, who underwent surgery for tracheal stenosis. Prior to this surgery, the patient had been implanted with an automatic implantable cardioverter-defibrillator (AICD), placed abdominally. In the operating room, the AICD was deactivated, and an automated external defibrillator (AED) was placed. Intraoperatively, the AED identified and treated the patient's ventricular tachycardia. Advantages of the AED in this hospital setting included rapid response to the cardiomyopathy, safe, hands-free operation, and minimal disruption of the surgical procedure. Safety concerns when using the AED are also detailed.
Jones
F D
FD
Department of Anesthesiology, University of Maryland School of Medicine, Baltimore 21201-1595, USA.
Fahy
B G
BG
D000328:Adult; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D009202:Cardiomyopathies / Q000150:complications; D017147:Defibrillators, Implantable; D004554:Electric Countershock / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D007431:Intraoperative Complications / Q000628:therapy*; D016343:Monitoring, Intraoperative; D011644:Puerperal Disorders / Q000150:complications; D017409:Sufentanil / Q000008:administration & dosage; D017180:Tachycardia, Ventricular / Q000209:etiology / Q000628:therapy*; D014135:Tracheal Stenosis / Q000601:surgery
D018686:Anesthetics, Intravenous; D017409:Sufentanil