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BJA Advance Access published online on July 28, 2005
British Journal of Anaesthesia, 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
Accepted April 24, 2005

Case Report

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

C. Eich 1*, A. Bleckmann 2, and T. Paul 3

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

* To whom correspondence should be addressed.
C. Eich, E-mail: ceich{at}t-online.de


  Abstract

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.

Keywords: anaesthesia, paediatric; complications, cardiac arrest; pacing, emergency; pacing, percussion.
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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.
[Abstract] [Full Text] [PDF]


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