Torsade de pointes in a patient with acute prolonged QT syndrome and poorly controlled diabetes during sevoflurane anaesthesia.
We report a case of torsade de pointes secondary to acute QT interval prolongation in a patient with poorly controlled diabetes mellitus towards the end of a laparoscopic nephrectomy under sevoflurane anaesthesia. The patient was successfully resuscitated and made a complete recovery. Our case suggests that acute QT interval prolongation should be considered in any patient with poor glycaemic control during prolonged procedures.
Thiruvenkatarajan
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V
Department of Anaesthesia, The Queen Elizabeth Hospital, Woodville, South Australia, Australia.
Osborn
K D
KD
Van Wijk
R M A W
RM
Euler
P
P
Sethi
R
R
Moodie
S
S
Biradar
V
V
D000208:Acute Disease; D000368:Aged; D018685:Anesthetics, Inhalation / Q000494:pharmacology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008133:Long QT Syndrome / Q000209:etiology*; D008738:Methyl Ethers / Q000494:pharmacology*; D000077149:Sevoflurane; D016171:Torsades de Pointes / Q000209:etiology*
D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane