Prolonged QT syndrome: perioperative management.
Intraoperative cardiac arrhythmias related to prolonged QT syndrome are uncommon. We describe a 26-year-old woman in whom ventricular fibrillation occurred during the final minutes of a partial glossectomy and right supraomohyoid selective neck dissection and discuss the role that this specific operation may have had in the development of the intraoperative event. In addition, we review the perioperative management of patients with prolonged QT syndrome.
Strickland
R A
RA
Department of Anesthesiology, Mayo Clinic Rochester, MN 55905.
Stanton
M S
MS
Olsen
K D
KD
D000293:Adolescent; D000328:Adult; D001285:Atropine / Q000627:therapeutic use; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D002648:Child; D005260:Female; D005927:Glossectomy / Q000009:adverse effects; D006323:Heart Arrest / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D007431:Intraoperative Complications / Q000188:drug therapy* / Q000209:etiology; D008012:Lidocaine / Q000627:therapeutic use; D008133:Long QT Syndrome / Q000150:complications / Q000188:drug therapy*; D008297:Male; D016343:Monitoring, Intraoperative; D037981:Neck Dissection / Q000009:adverse effects; D014062:Tongue Neoplasms / Q000601:surgery; D014693:Ventricular Fibrillation / Q000188:drug therapy* / Q000209:etiology
D001285:Atropine; D008012:Lidocaine