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Anesth Analg 2006;103:1113-1114
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000239242.69740.93

CARDIOVASCULAR ANESTHESIA

Multiple Failed External Defibrillation Attempts During Robot-Assisted Internal Mammary Harvest for Myocardial Revascularization

Kevin W. Hatton, MD*, Lawrence C. Kilinski, PHARMD, MD*, Chandrashekar Ramaiah, MD{dagger}, and Randall M. Schell, MD*

From the Departments of *Anesthesiology and {dagger}Surgery, University of Kentucky Chandler Medical Center, Lexington, Kentucky.

Address correspondence and reprint requests to Randall M. Schell, MD, Department of Anesthesiology, N-204 Chandler Medical Center, 800 Rose Street, Lexington, KY 40536. Address e-mail to rchell{at}email.uky.edu or rchell{at}uky.edu.

We describe multiple failed external defibrillation attempts via rescue defibrillation pads for ventricular fibrillation that occurred secondary to direct electrical current transmission through the pericardial sac from electrocautery during robot-assisted internal mammary harvest. Only after resumption of two-lung ventilation and decompression of the iatrogenic pneumothorax was the patient successfully defibrillated. Conditions necessary for robotic intrathoracic surgery may make defibrillation and resuscitation difficult if they become necessary.




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P. Tewari
Cardioversion During Closed Chest Robotic Surgery: Relevance of Pad Position
Anesth. Analg., August 1, 2007; 105(2): 542 - 542.
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Home page
 Anesth. Analg.Home page
K. W. Hatton and R. M. Schell
Cardioversion During Closed Chest Robotic Surgery: Relevance of Pad Position
Anesth. Analg., August 1, 2007; 105(2): 542 - 543.
[Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2006 by the International Anesthesia Research Society.