Accelerated idioventricular rhythm associated with desflurane administration.
The rapid administration of desflurane results in transient hypertension and tachycardia, especially in the presence of sympathetic imbalance. We report a case in which rapid administration of desflurane precipitated an accelerated idioventricular rhythm in a patient. This may have been related to a period of inadequate anesthesia.
Marret
Emmanuel
E
Département d'Anesthésie Réanimation, Hôpital Tenon, Assistance Publique-Hopitaux de Paris, Paris, France. emmanuel.marret@tnn.ap-hop-paris.fr
Pruszkowski
Olivier
O
Deleuze
Arnaud
A
Bonnet
Francis
F
D000368:Aged; D018685:Anesthetics, Inhalation / Q000009:adverse effects*; D001145:Arrhythmias, Cardiac / Q000139:chemically induced* / Q000503:physiopathology; D000077335:Desflurane; D004562:Electrocardiography / Q000187:drug effects; D005260:Female; D006352:Heart Ventricles / Q000187:drug effects; D006801:Humans; D007431:Intraoperative Complications / Q000139:chemically induced* / Q000503:physiopathology; D007530:Isoflurane / Q000009:adverse effects* / Q000031:analogs & derivatives; D019209:Troponin C / Q000097:blood; D014549:Urinary Incontinence / Q000601:surgery
D018685:Anesthetics, Inhalation; D019209:Troponin C; D000077335:Desflurane; D007530:Isoflurane