Effect of Tolamolol on the Cardiac Arrhythmias induced Halothane Anesthesia.
10.4070/kcj.1974.4.2.69
- Author:
Jong Seung KIM
;
Kyu Sub CHUNG
- Publication Type:Case Report
- MeSH:
Anesthesia*;
Anesthesia, General;
Animals;
Arrhythmias, Cardiac*;
Catecholamines;
Chloroform;
Epinephrine;
Halothane*;
Humans;
Hypercapnia;
Propranolol;
Ventricular Fibrillation
- From:Korean Circulation Journal
1974;4(2):69-73
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
There are many reports of ventricular arrhythmias following the injection of epinephrine under general anesthesia with halothane or cyclopropane. Raventos reported that catecholamines given animals during chloroform, cyclopropane or halothane anesthesia have caused ventricular arrhythmias which sometimes developed into ventricular fibrillation. But there are a few reports of atrial arrhythmias in patients under general anesthesia with alone halothane. While it is known that hypercapnia can elicit arrhythmia during halothane anesthesia, Black and coworkers that hypercapnia of 60 to 140mmHg (average 92mmHg) is necessary for the occurrence of arrhythmias during halothane anesthesia. Hellewell and Potts reported 12 cases of arrhythmias under halothane anesthesia which were treated by propranolol, producing a return of sinus rhythm in an average time of 46 seconds. The authors reported one case with atrial arrhythmias induced by halothane anesthesia, which were arrested by the IV injection of 5mg of tolamolo, beta-receptor blocking agent. Thereafter arrhythmias did not reappear.
