Canadian Anaesthetists’ Society Journal

, Volume 11, Issue 3, pp 291–296 | Cite as

Anaesthesia in stokes-adams disease

  • F. R. H. Wrigley


Fourteen patients with a history of Stokes-Adams disease have received m all 26 anaesthetics, mostly for the implantation of an artificial pacemaker There is a considerable danger that Stokes-Adams attacks may occur during the course of anaesthesia and, therefore, it is considered important to pace the heart artificially with an intravenous electrode catheter pnor to the; induction of anaesthesia.

The mam danger of the electrode catheter is that minor current leaks from other apparatus (such as an E K G machine ) may run to ground through the catheter and cause ventricular fibrillation.

The anaesthetic techniques employed in these cases were varied and were those in current use for other thoracotomies Few problems were encountered during the course of these anaesthetics, and this is attributed to the fact that in most of the patients the heart rate was controlled prior to the induction of anaesthesia by means of an artificial pacemaker.


Quatorze malades, souffrant de la maladie de Stokes-Adams, ont subi en tout 26 anesthésies, la plupart pour ľimplantation ďun appareil dont la fonction est ďassurer en automatisme artificiel Etant donné qu’il existe un giand danger de provoquer des attaques de Stokes-Adams au cours de ľanesthésie il s’impose, avant toute anesthésie, de pouvoir stimuler le coeur artificiellement par un cathéter électrode endovemeux.

Le principal danger du cathéter électrode est qu’une fraction du courant s’échappe ďun autre appareil (tel, un appareil à électrocardiogramme), se dirige vers la terre par le cathéter et provoque une fibrillation ventriculaire.

Chez ces malades, nous avons employé les mêmes techniques anesthésiques variées que nous employons pour les autres thoracotomies Au cours de ces anesthésies, nous n’avons pas eu de problèmes et nous attribuons cela au fait que, chez la plupart des malades, le rythme cardiaque était sous contiôle avant ľinduction de ľanesthésie grâce à ľappareil qui assure un automatisme artificiel.


Catheter Avant Isoproterenol Vandam Cela 
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Copyright information

© Canadian Anesthesiologists 1964

Authors and Affiliations

  • F. R. H. Wrigley
    • 1
  1. 1.Department of AnaesthesiaRoyal Victoria HospitalMontreal

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