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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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
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author Singh, Avneet
Kumar, Ganesh
Saini, Kulbhushan
Prabhakaran, Gangadharan
author_facet Singh, Avneet
Kumar, Ganesh
Saini, Kulbhushan
Prabhakaran, Gangadharan
author_sort Singh, Avneet
collection PubMed
description 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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spelling pubmed-88653402022-03-10 Epicardial pacemaker insertion in a preterm very low birth weight neonate – An anaesthetic challenge Singh, Avneet Kumar, Ganesh Saini, Kulbhushan Prabhakaran, Gangadharan Ann Card Anaesth Case Report 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. Wolters Kluwer - Medknow 2022 2022-01-21 /pmc/articles/PMC8865340/ /pubmed/35075029 http://dx.doi.org/10.4103/aca.ACA_94_20 Text en Copyright: © 2022 Annals of Cardiac Anaesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Singh, Avneet
Kumar, Ganesh
Saini, Kulbhushan
Prabhakaran, Gangadharan
Epicardial pacemaker insertion in a preterm very low birth weight neonate – An anaesthetic challenge
title Epicardial pacemaker insertion in a preterm very low birth weight neonate – An anaesthetic challenge
title_full Epicardial pacemaker insertion in a preterm very low birth weight neonate – An anaesthetic challenge
title_fullStr Epicardial pacemaker insertion in a preterm very low birth weight neonate – An anaesthetic challenge
title_full_unstemmed Epicardial pacemaker insertion in a preterm very low birth weight neonate – An anaesthetic challenge
title_short Epicardial pacemaker insertion in a preterm very low birth weight neonate – An anaesthetic challenge
title_sort epicardial pacemaker insertion in a preterm very low birth weight neonate – an anaesthetic challenge
topic Case Report
url 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
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