Rapid ventricular pacing assisted hypotension in the management of sudden intraoperative hemorrhage during cerebral aneurysm clipping

Shariq Ali Khan; Miles Berger; Abhishek Agrawal; Mary Huang; Isaac Karikari; Shahid M Nimjee; Ali R Zomorodi; David L McDonagh

doi:10.4103/1793-5482.131066

An Official publication of The Asian Congress of Neurological Surgeons (AsianCNS)

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Year : 2014 | Volume : 9 | Issue : 1 | Page : 33-35

Rapid ventricular pacing assisted hypotension in the management of sudden intraoperative hemorrhage during cerebral aneurysm clipping

Shariq Ali Khan¹, Miles Berger², Abhishek Agrawal³, Mary Huang⁴, Isaac Karikari⁴, Shahid M Nimjee³, Ali R Zomorodi³, David L McDonagh²
¹ Department of Anesthesiology, Duke University Medical Centre, Durham, North Carolina, USA; Anaesthesiology, Singapore General Hospital, Singapore
² Department of Anesthesiology, Duke University Medical Centre, Durham, North Carolina, USA
³ Department of Surgery (Neurosurgery) and Radiology, Duke University Medical Centre, Durham, North Carolina, USA
⁴ Department of Surgery (Neurosurgery), Duke University Medical Centre, Durham, North Carolina, USA

Correspondence Address:
Shariq Ali Khan
DUMC Box 3094, Durham, North Carolina 27710, USA

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/1793-5482.131066

Sudden intraoperative hemorrhage during intracranial aneurysm surgery from vascular injury or aneurysmal rupture has been known to dramatically increase the associated morbidity and mortality. We describe the first reported use of rapid ventricular pacing (RVP) assisted hypotension to control sudden intraoperative hemorrhage during intracranial aneurysm surgery where temporary arterial occlusion was not achievable.

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