Intraoperative diaphragmatic stimulation by a cardiac resynchronization therapy defibrillator presenting as hiccups

Aybar, Hüseyin

Intraoperative diaphragmatic stimulation by a cardiac resynchronization therapy defibrillator presenting as hiccups

dc.authorid	0009-0007-1854-0602
dc.contributor.author	Aybar, Hüseyin
dc.date.accessioned	2025-01-10T06:50:55Z
dc.date.available	2025-01-10T06:50:55Z
dc.date.issued	2024
dc.department	Fakülteler, Tıp Fakültesi
dc.description.abstract	Pacemaker-related diaphragmatic contractions are a phenomenon encountered in cardiology practice. With informed consent from the patient, this letter reports a case of this condition under general anesthesia, presenting as hiccups. A 44-yr-old female patient with a history of back pain was diagnosed with lumbar stenosis and presented for posterior instrumentation surgery. She had a height of 163 cm and weight of 104 kg; her known comorbidities included obesity (body mass index [BMI], 39.1 kg m-2), type 2 diabetes, and nonischemic dilated cardiomyopathy with a left bundle branch block and an implanted cardiac resynchronization therapy–defibrillator (CRT-D) device (INOGENTM X4 CRT-D model G148, Boston Scientific Corporation, Marlborough, MA, USA). General anesthesia (GA) was induced, the patient wa positioned prone, and neuromonitoring was initiated.Intravenous infusions of propofol and remifentanil were initiated for maintenance of GA. Preoperatively, a cardiologist reprogrammed the CRT-D device; the pacing mode was kept the same to ensure left ventricle (LV) functionality and tachycardia therapy was deactivated (even though magnet application effects on the device are the same as those of the abovementioned configuration, the prone position would have hindered the ability to maintain the position of the magnet).
dc.identifier.citation	Aybar, H. (2024). Intraoperative diaphragmatic stimulation by a cardiac resynchronization therapy defibrillator presenting as hiccups, Canadian Journal of Anesthesia/Journal canadien d anesthésie, Springer Nature, s.1-3.
dc.identifier.doi	/10.1007/s12630-024-02880-5
dc.identifier.endpage	3
dc.identifier.issn	1496-8975
dc.identifier.startpage	1
dc.identifier.uri	https://hdl.handle.net/20.500.12415/13223
dc.institutionauthor	Aybar
dc.language.iso	en
dc.publisher	Springer Nature
dc.relation.ispartof	Canadian Journal of Anesthesia/Journal canadien d anesthésie
dc.relation.publicationcategory	Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	CRT
dc.subject	Diaphragmatic Contractions
dc.subject	İntraoperative Hiccups
dc.subject	Pacemaker
dc.subject	Phrenic Nerve Stimulation
dc.title	Intraoperative diaphragmatic stimulation by a cardiac resynchronization therapy defibrillator presenting as hiccups
dc.type	other
dspace.entity.type	Publication