title: [Cardiac arrest secondary to pacemaker dysfunction during general anesthesia in a young adult patient].
abstract: The number of patients with cardiac pacemaker is continuously increasing. The anesthetic management of these patients is often trivialized, particularly during minor surgery. However there is always a potential risk of dysfunction during anesthesia. Perioperative management of these patients must be careful and standardized to avoid accidents. We report a case of cardiac arrest during general anesthesia for a day-surgery secondary to pacemaker dysfunction by increasing pacing thresholds in a young adult patient. Rapid onset after induction, without any surgical stimulation, has raised the question of the involvement of anesthetic drugs like propofol.
authors.affiliation: Service d'anesthésie réanimation 1, université Bordeaux-Segalen, hôpital Pellegrin, CHU de Bordeaux, 33076 Bordeaux cedex, France.
authors.forename: J
authors.initials: J
authors.lastname: Gayot
authors.affiliation: Service d'anesthésie réanimation 1, université Bordeaux-Segalen, hôpital Pellegrin, CHU de Bordeaux, 33076 Bordeaux cedex, France.
authors.forename: A-L
authors.initials: AL
authors.lastname: Saint-Pol
authors.affiliation: Service d'anesthésie réanimation 1, université Bordeaux-Segalen, hôpital Pellegrin, CHU de Bordeaux, 33076 Bordeaux cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Degryse
authors.affiliation: Service d'anesthésie réanimation 1, université Bordeaux-Segalen, hôpital Pellegrin, CHU de Bordeaux, 33076 Bordeaux cedex, France. Electronic address: francois.sztark@chu-bordeaux.fr.
authors.forename: F
authors.initials: F
authors.lastname: Sztark
mesh_terms: D000556:Ambulatory Surgical Procedures; D000768:Anesthesia, General; D001858:Bone Nails; D020878:Device Removal; D004562:Electrocardiography; D004868:Equipment Failure; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D055815:Young Adult
keywords: Anesthésie générale; Arrhythmia; Asystole; Asystolie; General anesthesia; Pacemaker; Pacing thresholds; Propofol; Seuil de stimulation; Troubles du rythme