Анестезия и клинические исследования
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Management of Third-degree Atrioventricular Block with Intraoperative Transvenous Temporary Pacemaker

Tomonori Morita, Hiroaki Kishikawa and Atsuhiro Sakamoto

Herein, we report the case of an 82-year-old man with colon cancer and perioperative emphysemas, who manifested a difficult to manage complete atrioventricular (AV) block during alaparoscopic colectomy. The patient’s heart rate decreased to 40 beats per minute with a third-degree AV block. The intravenous administration of atropine was not effective. We used a transcutaneous pacemaker (TCP), and increased the current amplitude, but found no notable capture. We tried management using a transvenous temporary pacemaker, and the patient became hemodynamically stable. We discharged him without signs of neurological complications. The intraoperative hemodynamic management of complete AV blocks with TCPs has not been adequately discussed.