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

ABSTRACT: We report a case of pulmonary embolism while performing pacemaker implantation in an obese patient and its management as well as certain precautions that one must consider in an obese patient especially under conscious sedation. Air embolism during pacemaker implantation although rare can be life-threatening in certain conditions such as massive pulmonary embolism. Air embolism during this procedure mainly occurs through open sheath just before inserting the lead. Certain risk factors associated with this condition include deep inspiration, frequent coughing, advanced age, sheath with larger diameter, and sedatives. Obesity along with associated factors including sleep apnea, restrictive lung disease, and challenges during airway management can create troubles during pacemaker implantation

SUBMITTER: Kumar B 

PROVIDER: S-EPMC7718507 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature