BRADYARRHYTHMIAS AND LAPAROSCOPY - A PROSPECTIVE-STUDY OF HEART-RATE CHANGES WITH LAPAROSCOPY

被引：51

作者：

MYLES, PS

机构：

[1] Royal Women's Hospital, Melbourne

来源：

AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY | 1991年 / 31卷 / 02期

关键词：

D O I：

10.1111/j.1479-828X.1991.tb01811.x

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Cardiac arrhythmias are a common complication of laparoscopy. Bradyarrhythmias (including asystole) may be life-threatening. The recent introduction of new shorter-acting muscle relaxants (atracurium and vecuronium), with their lack of vagolytic activity, may exacerbate this situation. At the Royal Women's Hospital there have been several episodes of severe bradyarrhythmias and/or asystole associated with these relaxants. This study evaluated heart rate changes in 49 women during laparoscopy: 47% of patients had arrhythmias, 30% of these being bradyarrhythmias. Nearly all the episodes occurred during carbon dioxide insufflation or with traction on pelvic structures. The life-threatening nature of this phenomenon should be understood by all anaesthetists and gynaecologists engaged in laparoscopic procedures.

引用

页码：171 / 173

页数：3

共 16 条

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