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Atypical cardioversion in unstable arrhythmia caused by clavicle surgery
Stefan Bushuven1, Ronny Langenhan2
1Department of Anaesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Hegau Bodensee Hospital Singen, Virchowstrasse 10, 78224 Singen, Germany.
Abstract:
We report on a 54-year old male with traumatic brain injury, flail chest and floating shoulder undergoing intramedullary stabilization of a midshaft clavicle fracture in beach chair position. Intraoperatively the patient developed instable atrial fibrillation triggered by implantation of intramedullary nail. Secondary this case shows feasibility of cardioversion in latero-lateral electrode-position due to inaccessible standard positions and patient fixation between the operation table and the X-ray apparatus.
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