title: Atrioventricular dissociation resulting from combined thoracic epidural and general anesthesia.
abstract: In a patient being operated under combined thoracic epidural and general anesthesia, atrial bradycardia resulting in isorhythmic dissociation is reported. The ECG findings are presented and the causes of the dysrhythmia are discussed. The importance of differential diagnosis and treatment in atrioventricular dissociation is emphasized.
authors.affiliation: Department of Anesthesiology and Critical Care, State University of New York, Buffalo.
authors.forename: O A
authors.initials: OA
authors.lastname: de Leon-Casasola
authors.forename: M J
authors.initials: MJ
authors.lastname: Lema
mesh_terms: D000767:Anesthesia, Epidural / Q000009:adverse effects*; D000769:Anesthesia, Inhalation / Q000009:adverse effects*; D004562:Electrocardiography; D006327:Heart Block / Q000209:etiology*; D006801:Humans; D007530:Isoflurane; D008012:Lidocaine; D008297:Male; D008875:Middle Aged; D009609:Nitrous Oxide; D013514:Surgical Procedures, Operative
chemical_list: D008012:Lidocaine; D007530:Isoflurane; D009609:Nitrous Oxide