A 67-year-old @entity1 with @entity463 was scheduled for craniotomy. Before anesthesia induction, asymptomatic @entity1168 (40 beats x @entity1009 )) occurred, and was resistant to @entity3897 0.4 mg. The surgery was postponed. He was diagnosed as @entity1817 ( @entity16507 ). He received implantation of a temporary cardiac pacemaker on the day before the rescheduled surgery. Anesthesia was induced with thiopental 400 mg, @entity3575 200 microg, @entity3369 10 mg and @entity5161 5%, and maintained with @entity5161 1-2% in @entity26 3 l x @entity1009 ) and air 3 l x @entity1009 ). Pacing mode was set to fixed rate asynchronous pacing in the ventricle with a rate of 50 beats x @entity1009 ) after anesthesia induction. Surgery was completed in 8 hours and 45 minutes without any complications. The pacing wire was removed the next day. For @entity1 with @entity1817 , implantation of the pacemaker is indicated in case of @entity591 or with any clinical symptoms. However, a pacemaker should be implanted before general anesthesia even in a @entity1 with no clinical symptoms because of cardiovascular instability induced by anesthesia.

[General anesthesia for a XXXX with asymptomatic @entity1817 ].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'man'] @entity1009 :: ('966', 'Gene') :: ['min(-1'] @entity3369 :: ('MESH:D014673', 'Chemical') :: ['vecuronium'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen'] @entity591 :: ('MESH:D013610', 'Disease') :: ['bradycardia-tachycardia syndrome'] @entity1817 :: ('MESH:D012804', 'Disease') :: ['sick sinus syndrome'] @entity3575 :: ('MESH:D005283', 'Chemical') :: ['fentanyl'] @entity463 :: ('MESH:D005909', 'Disease') :: ['glioblastoma'] @entity3897 :: ('MESH:D001285', 'Chemical') :: ['atropine'] @entity16507 :: ('MESH:D054138', 'Disease') :: ['sinus arrest'] @entity5161 :: ('MESH:D007530', 'Chemical') :: ['isoflurane'] @entity1168 :: ('MESH:D001919', 'Disease') :: ['bradycardia']
@entity1 :: (9606,Species) :: ['patient']
