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Journal of Clinical Monitoring and Computing
Published in: Journal of Clinical Monitoring and Computing 3/2021

Open Access 01-05-2021 | Pacemaker | Letter to the Editor

Conductive heating mattress leads to ECG changes that mimic pacemaker spikes

Authors: A. Bräuer, R. Franke, A. von Hammerstein-Equord

Published in: Journal of Clinical Monitoring and Computing | Issue 3/2021

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Abstract

Hypothermia is a common perioperative complication. To prevent perioperative hypothermia amongst other things electrical heating mattresses are used. We have made an observation with the use of an electrical heating mattress that may confuse users. In this case the ECG monitoring suddenly showed spikes that looked like spikes from an implanted pacemaker. When turning off the heating mattress the spikes disappeared and returned after turning on the heating mattress again.
Literature
1.
Sessler DI. Perioperative thermoregulation and heat balance. Lancet. 2016;387:2655–64.CrossRef
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3.
Emmert A, Franke R, Brandes IF, et al. Comparison of conductive and convective warming in patients undergoing video-assisted thoracic surgery: a prospective randomized clinical trial. Thorac Cardiovasc Surg. 2017;65:362–6.CrossRef
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Negishi C, Hasegawa K, Mukai S, et al. Resistive-heating and forced-air warming are comparably effective. Anesth Analg. 2003;96:1683–7.CrossRef
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Röder G, Sessler DI, Roth G, et al. Intra-operative rewarming with Hot Dog® resistive heating and forced-air heating: a trial of lower-body warming. Anaesthesia. 2011;66:667–74.CrossRef
Metadata
Title
Conductive heating mattress leads to ECG changes that mimic pacemaker spikes
Authors
A. Bräuer
R. Franke
A. von Hammerstein-Equord
Publication date
01-05-2021
Publisher
Springer Netherlands
Published in
Journal of Clinical Monitoring and Computing / Issue 3/2021
Print ISSN: 1387-1307
Electronic ISSN: 1573-2614
DOI
https://doi.org/10.1007/s10877-020-00520-z

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