BACKGROUND A large disparity in medical health care is clearly evident between developed and underserved nations in the field of cardiac electrophysiology, specifically pacemaker implantation. This study aimed to assess the safety of pacemaker reuse. METHODS AND RESULTS A computerized search from January 1, 1970, to September 1, 2010, identified 18 studies with outcomes of pacemaker reuse. Th...

SS Bollapragada,a JD Norrie,b JE Normana a Division of Developmental Medicine, Maternal and Reproductive Medicine, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK bCentre for Healthcare Randomised Trials (CHaRT), Health Services Research Unit, Aberdeen University, Aberdeen, UK Correspondence: Dr SS Bollapragada, Division of Developmental Medicine, Maternal and Reproductive Medicine,...

To the Editor:—A 77-yr-old man undergoing insertion of a J-splint for renal obstruction received general anesthesia delivered with an ADU anesthesia machine (Anesthesia Delivery Unit; Datex-Ohmeda, Stockholm, Sweden). A 5% desflurane vaporizer concentration setting with an O2/N2O mixture (2 and 3 l/min, respectively) resulted in stable inspired and expired desflurane concentrations (fig. 1). Im...

We report a case of electrocautery-induced pacemaker failure that resulted in asystole in a 15-year-old girl scheduled for cardiac surgery. Her pacemaker was converted to the asynchronous mode the night before surgery. Electromagnetic interference from the unipolar electrocautery caused a reduction in the battery voltage, which allowed the digital circuitry, but not the voltage control oscillat...

abstractbackgroundline of treatment for management of hydrocephalus despite available new techniques andsystems of shunting. associated complications should be recognized and managed properly,but the most recognized complications are shunt obstruction which its prevalencethrough surgical approach is discussed here. two approaches (frontal and parietal) are usedto insert ventriculoperitoneal shu...

With constantly evolving technology and an ever-increasing number of patients with pacemakers, clinicians will encounter various pacemaker malfunctions in their practice. While some of these issues can be solved even by using only the pacemaker׳s mode settings, others require re-intervention; neglecting a pacemaker׳s malfunction without full investigation threatens the patient׳s life. In this r...