Time to rethink: Conscious sedation in an obese during pacemaker implantation

Percutaneous nephrolithotomy under conscious sedation in morbidly obese patients.

Two morbidly obese males weighing 159 kg and 184 kg underwent percutaneous nephrolithotomy (PCNL) for large, symptomatic renal stones. To avoid anesthetic complications and cardiorespiratory compromise in the prone position, the procedures were performed under IV sedation with local anesthesia. The risks of PCNL in this patient population are reviewed, and the technique employed to mitigate the...

Time to rethink refusing kidney transplants for obese patients.

Venous spasm during pacemaker implantation.

A 75-years-old female presented with dyspnea and syncope. Electrocardiogram revealed atrial fibrillation and complete atrioventricular block. She was therefore listed for pacemaker implantation on the next day. Initial attempt at venous access was left axillary vein. A venogram showed good venous anatomy (Fig. 1a). Several attempts to puncture axillary vein were made. However, there was no good...

Asystolic episodes during pacemaker implantation.

During normal rate programming of a pulse generator from slower to more rapid rates, intervals of output impulse suppression lasting 2 seconds plus the newly programmed interval to a maximum of 3.935 seconds are possible, and are a result of the pulse interval control system. These occur if programming falls within the susceptible window (the period between the existing interval and the new one...

Aspiration of a sponge during conscious sedation

Corresponding author: Hyun Jung Koh, M.D., Ph.D., Department of Anesthesiology and Pain Medicine, Yeouido St. Mary Hospital, College of Medicine, The Catholic University of Korea, 10, 63-ro, Yeongdeungpo-gu, Seoul 150-713, Korea. Tel: 82-2-3779-1268, Fax: 82-2-783-0368, E-mail: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution ...