Abstract

We report a case of complete heart block patient with pacemaker in situ (VVI mode-ventricle paced sensed and inhibited) with anticipated difficult airway of a morbid obese patient presenting for incision and drainage of peritonsillar abscess on an emergency basis because of impending respiratory distress.

The challenges encountered in this case was:

  • Programming the pacemaker to asynchronous mode { VOO mode-ventricle paced, none sensed and no response to sensing) in this case}
  • Managing difficult airway.

Keywords

  • pacemaker
  • peritonsillar abscess
  • difficult airway