Multiple failed external defibrillation attempts during robot-assisted internal mammary harvest for myocardial revascularization

Kevin W. Hatton; Lawrence C. Kilinski; Chandrashekar Ramaiah; Randall M. Schell

doi:10.1213/01.ane.0000239242.69740.93

Multiple failed external defibrillation attempts during robot-assisted internal mammary harvest for myocardial revascularization

Kevin W. Hatton, Lawrence C. Kilinski, Chandrashekar Ramaiah, Randall M. Schell

Research output: Contribution to journal › Article › peer-review

22 Scopus citations

Abstract

We describe multiple failed external defibrillation attempts via rescue defibrillation pads for ventricular fibrillation that occurred secondary to direct electrical current transmission through the pericardial sac from electrocautery during robot-assisted internal mammary harvest. Only after resumption of two-lung ventilation and decompression of the iatrogenic pneumothorax was the patient successfully defibrillated. Conditions necessary for robotic intrathoracic surgery may make defibrillation and resuscitation difficult if they become necessary.

Original language	English
Pages (from-to)	1113-1114
Number of pages	2
Journal	Anesthesia and Analgesia
Volume	103
Issue number	5
DOIs	https://doi.org/10.1213/01.ane.0000239242.69740.93
State	Published - Nov 2006

Funding

Supported by Department of Anesthesiology, University of Kentucky Chandler Medical Center.

Funders	Funder number
University of Kentucky Chandler Medical Center, Lexington, KY

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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10.1213/01.ane.0000239242.69740.93

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abstract = "We describe multiple failed external defibrillation attempts via rescue defibrillation pads for ventricular fibrillation that occurred secondary to direct electrical current transmission through the pericardial sac from electrocautery during robot-assisted internal mammary harvest. Only after resumption of two-lung ventilation and decompression of the iatrogenic pneumothorax was the patient successfully defibrillated. Conditions necessary for robotic intrathoracic surgery may make defibrillation and resuscitation difficult if they become necessary.",

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Multiple failed external defibrillation attempts during robot-assisted internal mammary harvest for myocardial revascularization

Abstract

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