Accelerated idioventricular rhythm observed under total intravenous anesthesia using remifentanil, propofol, and rocuronium

被引：0
作者：
Mika Nakanishi
Kaoru Masumo
Takako Oota
Takeshi Kato
Toshihiro Imanishi
机构：
[1] Department of Anesthesia,
[2] Osakafu Saiseikai Noe Hospital,undefined
来源：
JA Clinical Reports | / 1卷 / 1期
关键词：
Accelerated idioventricular rhythm; Total intravenous anesthesia; Remifentanil; Propofol;
D O I：
10.1186/s40981-015-0016-3
中图分类号：
学科分类号：
摘要：
Accelerated idioventricular rhythm (AIVR) during anesthesia has been described in several drug toxicity such as from cocaine, halothane, desflurane, and propofol. We present the case of a man who developed episodes of AIVR observed under total intravenous anesthesia (TIVA) using remifentanil, propofol, and rocuronium. AIVR during anesthesia was a benign phenomenon, and further examinations after surgery showed no structural heart disease and the daily occurrence of idioventricular arrhythmias. This case suggests that the suppression of sinus and atrioventricular nodal function and the autonomic imbalance caused by propofol and remifentanil may induce AIVR with greater frequency.
引用
收藏
相关论文
共 78 条
[1]  
Riera AR(2010)Accelerated idioventricular rhythm: history and chronology of the main discoveries Indian Pacing Electrophysiol J 10 40-8
[2]  
Barros RB(2001)Accelerated ventricular rhythm in children: a review and report of a case with congenital heart disease Pediatr Cardiol 22 23-8
[3]  
de Sousa FD(1983)Acute cocaine poisoning. Importance of treating seizures and acidosis Am J Med 75 106-14
[4]  
Baranchuk A(2008)Sudden appearance of idioventricular rhythm during inhalational induction with halothane in a child with congenital cataract J Postgrad Med 54 337-9
[5]  
Reynolds JL(2002)Accelerated idioventricular rhythm associated with desflurane administration Anesth Analg 95 319-21
[6]  
Pickoff AS(2010)Accelerated idioventricular rhythm following propofol induction in a dog undergoing ocular surgery Vet Anaesth Analg 37 385-6
[7]  
Jonsson S(2006)Cardiovascular outcomes with atrial-based pacing compared with ventricular pacing: meta-analysis of randomized trials, using individual patient data Circulation 114 11-7
[8]  
O’Meara M(2003)Adverse effect of ventricular pacing on heart failure and atrial fibrillation among patients with normal baseline QRS duration in a clinical trial of pacemaker therapy for sinus node dysfunction Circulation 107 2932-7
[9]  
Young JB(2009)Management of cocaine-induced cardiac arrhythmias due to cardiac ion channel dysfunction Clin Toxicol 47 14-23
[10]  
Chhabra A(1991)Perioperative arrhythmias with a propofol-based anesthetics J Clin Anesth 3 149-52
12345678