title: Rapid ventricular pacing assisted hypotension in the management of sudden intraoperative hemorrhage during cerebral aneurysm clipping.
abstract: Sudden intraoperative hemorrhage during intracranial aneurysm surgery from vascular injury or aneurysmal rupture has been known to dramatically increase the associated morbidity and mortality. We describe the first reported use of rapid ventricular pacing (RVP) assisted hypotension to control sudden intraoperative hemorrhage during intracranial aneurysm surgery where temporary arterial occlusion was not achievable.
authors.affiliation: Department of Anesthesiology, Duke University Medical Centre, Durham, North Carolina, USA ; Department of Anaesthesiology, Singapore General Hospital, Singapore.
authors.forename: Shariq Ali
authors.initials: SA
authors.lastname: Khan
authors.affiliation: Department of Anesthesiology, Duke University Medical Centre, Durham, North Carolina, USA.
authors.forename: Miles
authors.initials: M
authors.lastname: Berger
authors.affiliation: Department of Surgery (Neurosurgery) and Radiology, Duke University Medical Centre, Durham, North Carolina, USA.
authors.forename: Abhishek
authors.initials: A
authors.lastname: Agrawal
authors.affiliation: Department of Surgery (Neurosurgery), Duke University Medical Centre, Durham, North Carolina, USA.
authors.forename: Mary
authors.initials: M
authors.lastname: Huang
authors.affiliation: Department of Surgery (Neurosurgery), Duke University Medical Centre, Durham, North Carolina, USA.
authors.forename: Isaac
authors.initials: I
authors.lastname: Karikari
authors.affiliation: Department of Surgery (Neurosurgery) and Radiology, Duke University Medical Centre, Durham, North Carolina, USA.
authors.forename: Shahid M
authors.initials: SM
authors.lastname: Nimjee
authors.affiliation: Department of Surgery (Neurosurgery) and Radiology, Duke University Medical Centre, Durham, North Carolina, USA.
authors.forename: Ali R
authors.initials: AR
authors.lastname: Zomorodi
authors.affiliation: Department of Anesthesiology, Duke University Medical Centre, Durham, North Carolina, USA.
authors.forename: David L
authors.initials: DL
authors.lastname: McDonagh
keywords: Cerebral aneurysm; adenosine; rapid ventricular pacing