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.
Department of Anaesthesia, The Queen Elizabeth Hospital, Woodville, South Australia, Australia.
V
V
Thiruvenkatarajan
K D
KD
Osborn
R M A W
RM
Van Wijk
P
P
Euler
R
R
Sethi
S
S
Moodie
V
V
Biradar
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