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Related Experiment Videos

Cardiac pacemaker dysfunction in children after thoracic drainage catheter manipulation

K W Lobdell1, H L Walters, C Hudson

  • 1Department of Cardiovascular Surgery, Children's Hospital of Michigan, Detroit 48201, USA.

The Annals of Thoracic Surgery
|May 1, 1997
PubMed
Summary

Subcutaneous emphysema near pulse generators in two children with pacemakers was managed non-invasively. Manual compression and monitoring resolved the issue, ensuring proper pacemaker function without further procedures.

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Area of Science:

  • Pediatric Cardiology
  • Biomedical Engineering

Background:

  • Complete heart block necessitates pacemaker implantation in pediatric patients.
  • Permanent epicardial-lead, dual-chamber, unipolar pacemaker systems are utilized for pediatric cardiac pacing.

Observation:

  • Postoperative subcutaneous emphysema occurred in the pulse generator area of two children.
  • Emphysema was temporally related to thoracic catheter manipulation during pacemaker placement.

Findings:

  • Manual compression of the pulse generator effectively managed acute emphysema.
  • Non-invasive management, including pressure dressings and monitoring, ensured satisfactory pacemaker function.

Implications:

  • This approach offers a conservative, non-invasive strategy for managing postoperative emphysema in pediatric pacemaker patients.

Related Experiment Videos

  • Caregiver education is crucial for vigilant observation and maintaining pacemaker integrity.