Korean J Anesthesiol.  1997 Jun;32(6):1017-1022. 10.4097/kjae.1997.32.6.1017.

An Anesthetic Experience for Automatic Implantable Cardioverter Defibrillator Implantation: A case report

• Jun HJ
• Cho MW

• KMID: 2237770
• DOI: http://doi.org/10.4097/kjae.1997.32.6.1017

Abstract

Automatic implantable cardioverter defibrillator(AICD) is a device that senses ventricular tarchycardia and ventricular fibrillation and responses with counter-shocks to the heart. We experienced a case of AICD implantation to prevent sudden cardiac death. A-22-year-old male was operated under O2, N2o, fentanyl, low dose enflurane anesthesia. The diagnosis was familial long QT syndrome. Lead was introduced to the right ventricular apex through left subclavian vein and generator was placed between pectoralis muscles. Then defibrillation threshold testing was performed. Ventricular fibrillation was induced with Twave shock of 3 joule and defibrillation with 5 joule terminated ventricular fibrillation successfully. After ventricular fibrillation, his blood pressure decreased to 30mmHg. When ventricular fibrillation was converted to normal rhythm, it retured to normal range. After operation, patient was transferred to the ICU and stayed there for 3 days.

Keyword

Heart; arrhythmia; fibrillation; defibrillators; AICD

MeSH Terms

Anesthesia
Arrhythmias, Cardiac
Blood Pressure
Death, Sudden, Cardiac
Defibrillators*
Diagnosis
Enflurane
Fentanyl
Heart
Humans
Long QT Syndrome
Male
Pectoralis Muscles
Reference Values
Shock
Subclavian Vein
Ventricular Fibrillation
Enflurane
Fentanyl