[Suppression of frequent ventricular fibrillation attacks after induction of anesthesia with fentanyl, sevoflurane and propofol: a case report].
We experienced emergency anesthetic management of a 51-year-old male for exchange of a battery in an implantable cardioverter defibrillator. He had repeated and intractable attacks of ventricular fibrillation (Vf) before induction of anesthesia. Infusion of propofol at 100 mg.hr-1 failed to suppress the Vf attacks in the ICU. However, the Vf attacks were suppressed by the addition of fentanyl 100 micrograms, nitrous oxide and sevoflurane to the infusion of propofol. It is speculated that general anesthetics inhibit Vf attacks by direct suppression of myocardium and reduction of sympathetic nervous activity.
Yamagishi
Akio
A
Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical College, Asahikawa 078-8510.
Hamada
Ichiro
I
Takahata
Osamu
O
Nagashima
Michio
M
Fujimoto
Kazuhiro
K
Iwasaki
Hiroshi
H
D018681:Anesthetics, General; D018686:Anesthetics, Intravenous; D017147:Defibrillators, Implantable; D005283:Fentanyl; D006801:Humans; D008297:Male; D008738:Methyl Ethers; D008875:Middle Aged; D015742:Propofol; D000077149:Sevoflurane; D014693:Ventricular Fibrillation / Q000517:prevention & control / Q000628:therapy*
D018681:Anesthetics, General; D018686:Anesthetics, Intravenous; D008738:Methyl Ethers; D000077149:Sevoflurane; D005283:Fentanyl; D015742:Propofol