Monopolar cautery: A rare, potential cause of perioperative cardiac arrhythmias

Agarwal, Akhil; Tiwari, Rajeev Lochan; Jain, Shilpa

doi:10.4103/0970-9185.161729

Cited by 4 publications

(9 citation statements)

References 4 publications

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“…The suspected mechanism of action is the occurrence of low‐frequency stray currents that can excite cardiac myocytes. Several case reports in human medicine describe similar scenarios emphasising its relevance 9–14. One study in dogs using a minimal invasive technique for pericardectomy reports the occurrence of ventricular fibrillation in one dog when using the electrosurgical unit in the bipolar mode 17.…”

Section: Discussionmentioning

confidence: 99%

“…Several case reports in human medicine describe similar scenarios emphasising its relevance. [9][10][11][12][13][14] One study in dogs using a minimal invasive technique for pericardectomy reports the occurrence of ventricular fibrillation in one dog when using the electrosurgical unit in the bipolar mode. 17 The failure of medical equipment (defibrillator) secondary to poor maintenance was another complication occurring in the management of the first case described here.…”

Section: Discussionmentioning

confidence: 99%

“…Several case reports in human medicine describe the occurrence of ventricular fibrillation with the use of an electrosurgical unit near the heart. [9][10][11][12][13][14] As ventricular fibrillation is a serious perioperative complication with significant mortality, we aim to discuss the possible pathophysiology of the incident. Also, we address the topic of electrical safety in the operating room as well as the importance of the availability of functioning emergency equipment in the surgical theatre.…”

Section: Introductionmentioning

confidence: 99%

“…We report two cases of ventricular fibrillation during thoracoscopic surgery and pericardial window creation. Several case reports in human medicine describe the occurrence of ventricular fibrillation with the use of an electrosurgical unit near the heart 9–14. As ventricular fibrillation is a serious perioperative complication with significant mortality, we aim to discuss the possible pathophysiology of the incident.…”

Section: Introductionmentioning

confidence: 99%

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Suspected electrically induced ventricular fibrillation during thoracoscopic partial pericardectomy in two dogs

Studer¹,

Revés²,

Rytz³

et al. 2019

Vet Record Case Reports

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Partial removal of the pericardium is the recommended treatment for dogs suffering from recurrent pericardial effusion. An electrosurgical unit is often used for tissue dissection in the thorax, especially with a minimally invasive surgical approach. This report describes the occurrence of ventricular fibrillation in two dogs while using an electrosurgical unit inside the thoracic cavity. Several characteristics implicate an electrically induced arrhythmia. While one dog could be resuscitated successfully, there was a fatal outcome in the other. This report highlights that a thorough understanding of the electrosurgical unit is important, in order to use it safely.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Suspected electrically induced ventricular fibrillation during thoracoscopic partial pericardectomy in two dogs

Studer¹,

Revés²,

Rytz³

et al. 2019

Vet Record Case Reports

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“…Electrocautery has previously been reported to induce ventricular arrhythmias in rare cases. 1 , 2 , 3 However, to our knowledge, induction or cardioversion of atrial arrhythmias has not been reported. We report a case of repeated cardioversion from atrial flutter to sinus rhythm during electrocautery in a patient with a dual-chamber pacemaker.…”

Section: Introductionmentioning

confidence: 96%

A case of cautery-version

Wiens

Seifer

2021

HeartRhythm Case Reports

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

et al. 2022

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Objective To describe the clinical characteristics, perioperative protocols, and outcomes in dogs diagnosed with ventricular fibrillation (VF) while undergoing pericardiectomy. Study design Retrospective, multi‐institutional study. Animals Sixteen client‐owned dogs. Methods Cases were accrued through a listserve request posted to 3 subspecialty veterinary societies. Dogs were included if they developed VF during a pericardiectomy performed through an open or thoracoscopic approach. Data collected included signalment, history and physical examination, surgical approach, histopathology, treatment, and outcome. Results Indications for pericardiectomy included idiopathic chylothorax (n = 7), neoplasia (4), idiopathic pericardial effusion (4), and foreign body granuloma (1). Surgical approaches included thoracoscopy (12), intercostal thoracotomy (3) and median sternotomy (1). Electrosurgical devices were used to complete at least part of the pericardiectomy in 15 of 16 dogs. Ventricular fibrillation appeared to be initiated during electrosurgical use in 8/15 dogs. However, in 5/15 dogs it was not obviously associated with electrosurgical use. In 3/16 dogs the timing of initiation of VF was unclear. In 7/16 dogs, cardiac arrhythmias were noted prior to the development of VF. Fourteen of 16 dogs died from intraoperative VF. Conclusion In most dogs ventricular fibrillation was a fatal complication of pericardiectomy. Ventricular fibrillation might be associated with the use of electrosurgical devices and cardiac manipulation during pericardiectomy although a causal link could not be established from the data in this study. Clinical significance Surgeons must be aware of the risk of VF during pericardial surgery. Electrosurgery might need to be used judiciously during pericardiectomy, particularly in dogs exhibiting cardiac arrythmias.

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Monopolar cautery: A rare, potential cause of perioperative cardiac arrhythmias

Cited by 4 publications

References 4 publications

Suspected electrically induced ventricular fibrillation during thoracoscopic partial pericardectomy in two dogs

Suspected electrically induced ventricular fibrillation during thoracoscopic partial pericardectomy in two dogs

A case of cautery-version

The development of ventricular fibrillation as a complication of pericardiectomy in 16 dogs

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