title: [The development of ventricular fibrillation due to etomidate for anesthetic induction: a very rare side effect, case report].
abstract: OBJECTIVE
  Ventricular fibrillation occurring in a patient can result in unexpected complications. Here, our aim is to present a case of ventricular fibrillation occurring immediately after anesthesia induction with etomidate administration.
  
  
  METHODS
  A fifty-six-year-old female patient with a pre-diagnosis of gallstones was admitted to the operating room for laparoscopic cholecystectomy. The induction was performed by etomidate with a bolus dose of 0.3mg/kg. Severe and fast adduction appeared in the patient's arms immediately after induction. A tachycardia with wide QRS and ventricular rate 188beat/min was detected on the monitor. The rhythm turned to VF during the preparation of cardioversion. Immediately we performed defibrillation to the patient. Sinus rhythm was obtained. It was decided to postpone the operation due to the patient's unstable condition.
  
  
  CONCLUSIONS
  In addition to other known side effects of etomidate, very rarely, ventricular tachycardia and fibrillation can be also seen. To the best of our knowledge, this is the first case regarding etomidate causing VF in the literature.
authors.affiliation: Departamento de Anestesiologia e Reanimação, Faculdade de Medicina, Mustafa Kemal University, Hatay, Turquia. Electronic address: muratkarcioglu@hotmail.com.
authors.forename: Murat
authors.initials: M
authors.lastname: Karcioglu
authors.affiliation: Departamento de Anestesiologia e Reanimação, Faculdade de Medicina, Mustafa Kemal University, Hatay, Turquia.
authors.forename: Isil
authors.initials: I
authors.lastname: Davarci
authors.affiliation: Departamento de Anestesiologia e Reanimação, Faculdade de Medicina, Mustafa Kemal University, Hatay, Turquia.
authors.forename: Nuray
authors.initials: N
authors.lastname: Kirecci
authors.affiliation: Departamento de Cardiologia, Faculdade de Medicina, Mustafa Kemal University, Hatay, Turquia.
authors.forename: Adnan Burak
authors.initials: AB
authors.lastname: Akcay
authors.affiliation: Departamento de Anestesiologia e Reanimação, Faculdade de Medicina, Mustafa Kemal University, Hatay, Turquia.
authors.forename: Selim
authors.initials: S
authors.lastname: Turhanoglu
authors.affiliation: Departamento de Anestesiologia e Reanimação, Faculdade de Medicina, Mustafa Kemal University, Hatay, Turquia.
authors.forename: Kasim
authors.initials: K
authors.lastname: Tuzcu
authors.affiliation: Departamento de Anestesiologia e Reanimação, Faculdade de Medicina, Mustafa Kemal University, Hatay, Turquia.
authors.forename: Sedat
authors.initials: S
authors.lastname: Hakimoglu
authors.affiliation: Departamento de Cirurgia Geral, Faculdade de Medicina, Mustafa Kemal University, Hatay, Turquia.
authors.forename: Seckin
authors.initials: S
authors.lastname: Akkucuk
authors.affiliation: Departamento de Cirurgia Geral, Faculdade de Medicina, Mustafa Kemal University, Hatay, Turquia.
authors.forename: Akin
authors.initials: A
authors.lastname: Aydogan
keywords: Etomidate; Etomidato; Fibrilação ventricular; Induction of anesthesia; Indução da anestesia; Ventricular fibrillation