ANAESTHETIC MANAGEMENT OF A PATIENT WITH CARDIAC PACEMAKER & RESTRICTED MOUTH OPENING IN NON CARDIAC SURGERY : A CASE REPORT

Dr Jasmin Churai; Dr  Malavika Jandial; Dr. LT. COL. K. R. Sivashankar

Volume : VI, Issue : XI, November - 2017

ANAESTHETIC MANAGEMENT OF A PATIENT WITH CARDIAC PACEMAKER & RESTRICTED MOUTH OPENING IN NON CARDIAC SURGERY : A CASE REPORT

Dr Jasmin Churai, Dr Malavika Jandial, Dr. Lt. Col. K. R. Sivashankar

Abstract :

Patients with cardiac disease posted for noncardiac surgery are at higher risk and pose challenge to the anaesthesiologist. Cardiac-Pacing is treatment for cardiac arrhythmias. With increased use of cardiac implantable devices, anaesthesiologist need to be aware about different pacemakers and their types and functions. Preoperative evaluation of patient, severity of cardiac-disease, medications and pacemaker functions is must. Care of the pacemaker during surgery as well as understanding its anaesthetic implications in perioperative management of patient is necessary for uneventful management. Thereby, this case report in a 45yr old, male, with permanent cardiac pacemaker posted for I&D of right buccal cavity infection with restricted mouth opening.