Sitting-position Craniotomy in a Patient with Permanent Pacemaker

JOURNAL TITLE: Journal of Research & Innovation in Anesthesia

Author
1. Gauri R Gangakhedkar
2. Nirav Kotak
3. Anita N Shetty
ISSN
DOI
10.5005/jp-journals-10049-0058
Volume
4
Issue
1
Publishing Year
2019
Pages
1
Author Affiliations
1. com.mps.common.model.Contributor@a46ed3 ,
2. com.mps.common.model.Contributor@2fedb36f ,
3. com.mps.common.model.Contributor@18744400
Article keywords
Aortic regurgitation, Pacemaker, Sitting-position craniotomy

Abstract

Posterior fossa tumor surgeries are challenging from the point of view of both surgeons and anesthetists owing to the proximity of the tumor to vital centers, the difficulty faced in approaching the tumor, and complications associated with the positioning. The challenge in this patient undergoing a sitting-position craniotomy for a left-sided acoustic schwannoma was further augmented by the presence of a complete heart block in our patient (for which a pacemaker had been inserted) and the co-existence of a moderate aortic regurgitation.

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