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BJA Advance Access originally published online on July 28, 2005
British Journal of Anaesthesia 2005 95(4):465-467; doi:10.1093/bja/aei209
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journal.permissions@oupjournals.org

CASE REPORT

Percussion pacing in a three-year-old girl with complete heart block during cardiac catheterization

C. Eich1,3,*, A. Bleckmann1 and T. Paul2

1 Department of Anaesthesiology, Emergency and Intensive Care Medicine and 2 Department of Paediatric Cardiology and Paediatric Intensive Care Medicine, Georg-August-University, Robert-Koch-Strasse 40, 37099 Goettingen, Germany
3 Present address: Department of Anaesthesia and Critical Care, Royal Hospital for Sick Children, Edinburgh EH9 1LF, UK

* Corresponding author. E-mail: ceich{at}t-online.de

Complete heart block frequently requires emergency pacing to restore systemic perfusion. We report the case of a 3-yr-old girl undergoing interventional atrial septal defect closure who suffered from transient complete heart block with circulatory arrest. Transthoracic mechanical pacing for more than 3 min provided temporary support, sustaining an adequate cardiac output until sinus rhythm resumed.


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C. Eich, A. Bleckmann, and S. K. W. Schwarz
Percussion pacing--an almost forgotten procedure for haemodynamically unstable bradycardias? A report of three case studies and review of the literature
Br. J. Anaesth., April 1, 2007; 98(4): 429 - 433.
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