Atrial Fibrillation during General Anesthesia Induction and Paroxysmal Supraventricular Tachycardia on Emergence.
10.12771/emj.2012.35.2.119
- Author:
Yun Sic BANG
1
;
Dong Wook SHIN
;
Tae Kyu LEE
;
Chung Hyun PARK
;
Hyun Ju GILL
;
Jong Yeon LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea. jongyeonl@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Atrial fibrillation;
General anesthesia;
Paroxysmal tachycardia
- MeSH:
Anesthesia, General;
Atrial Fibrillation;
Blood Pressure;
Bradycardia;
Glycopyrrolate;
Injections, Intravenous;
Nasal Bone;
Propanolamines;
Recovery Room;
Tachycardia, Paroxysmal;
Tachycardia, Supraventricular;
Verapamil
- From:The Ewha Medical Journal
2012;35(2):119-123
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A healthy 35-year-old man who was scheduled for closed reduction of nasal bone fracture developed atrial fibrillation during induction of general anesthesia after intravenous glycopyrrolate injection. During emergence of general anesthesia, atrial fibrillation was suddenly changed to paroxysmal supraventricular tachycardia with 200 beat per minute and lasted for about 10 seconds. Because blood pressure was stable, esmolol was used to reduce ventricular response. At recovery room, ventricular response reduction about 55 beat per minute was observed after intravenous injection of verapamil 5 mg. Thereafter, the rhythm was returned to normal sinus rhythm with bradycardia.
