Inappropriate Firing Of Implantable Cardioverter-defibrillator In An Emergent Craniectomy

Authors

Dana Burandt, Beaumont Health Resident
Andrew B. Banooni, Beaumont Health Resident

Document Type

Conference Proceeding - Restricted Access

Publication Date

10-20-2019

Abstract

An 80yo male with ischemic cardiomyopathy and implantable cardiac device presented to the OR for craniectomy and surgical evacuation of bilateral subdural hematomas. Due to the emergent nature of the situation, his device settings and his dependency were unable to be confirmed prior to induction. Despite placing a magnet on the device, it fired twice with initial use of electrocautery. The anesthesiologist replaced the magnet and the case proceeded uneventfully. We will discuss guidelines for AICD/pacemaker interrogation, intraoperative management, and troubleshooting of such devices.

Comments

American Society of Anesthesiology, Anesthesiology 2019. Orlando, FL. October 19-23, 2019. Abstract.

Recommended Citation

Burandt D, Banooni A. Inappropriate firing of implantable cardioverter-defibrillator in an emergent craniectomy. Abstract presented at: Anesthesiology 2019. American Society of Anesthesiology, Orlando, FL; 2019 October 19-23.