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

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 initiati...

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Detalles Bibliográficos
Autores principales: Singh, Avneet, Kumar, Ganesh, Saini, Kulbhushan, Prabhakaran, Gangadharan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8865340/
https://www.ncbi.nlm.nih.gov/pubmed/35075029
http://dx.doi.org/10.4103/aca.ACA_94_20
Descripción
Sumario: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.

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