What Is Wandering Atrial Pacemaker

Decent Essays
Wandering atrial pacemaker is an arrhythmia originating from the shifting pacemaker sites from the sino-atrial node to the atria and/or atrioventricular node and back to the sino-atrial node1. We report an incident of wandering atrial pacemaker occurring intraoperatively during surgery for testicular torsion.
A 10 year old boy, American society of anesthesiologists’ physical status I having right-sided testicular torsion was operated under general anaesthesia was induced with fentanyl, propofol and atracurium, airway secured by LMA ProSeal™ and anaesthesia maintained with isoflurane, air and oxygen along with standard ASA monitoring. During manipulation of the testis, he had an episode of bradycardia with heart rate decreasing from 88/min to

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