Automatic atrial tachycardia in an infant following general anesthesia.
Automatic atrial tachycardia (AAT) is a rare supraventricular tachyarrhythmia (<10% of all supraventricular tachycardias), which can present in infants or young children. There are no published reports of AAT occurring in an infant or child following noncardiac surgery and general anesthesia. This report describes the management of a previously healthy 5-month-old infant, who developed AAT in the postanesthesia care unit following an uneventful circumcision under general anesthesia.
Tripi
Paul A
PA
Department of Anesthesiology, University Hospitals of Cleveland, Rainbow Babies & Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, OH, USA. paul.tripi@uhhs.com
Dorostkar
Parvin
P
D000322:Adrenergic Agonists / Q000008:administration & dosage; D000768:Anesthesia, General / Q000009:adverse effects*; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage; D001794:Blood Pressure / Q000187:drug effects; D002045:Bupivacaine / Q000008:administration & dosage; D002944:Circumcision, Male / Q000009:adverse effects / Q000379:methods; D004562:Electrocardiography / Q000187:drug effects; D004837:Epinephrine / Q000008:administration & dosage; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000379:methods; D008297:Male; D008738:Methyl Ethers / Q000008:administration & dosage; D009609:Nitrous Oxide / Q000008:administration & dosage; D010100:Oxygen / Q000008:administration & dosage; D011183:Postoperative Complications / Q000175:diagnosis; D012075:Remission, Spontaneous; D000077149:Sevoflurane; D013617:Tachycardia, Supraventricular / Q000139:chemically induced* / Q000175:diagnosis*
D000322:Adrenergic Agonists; D018685:Anesthetics, Inhalation; D000779:Anesthetics, Local; D008738:Methyl Ethers; D000077149:Sevoflurane; D009609:Nitrous Oxide; D010100:Oxygen; D002045:Bupivacaine; D004837:Epinephrine