title: Pulseless Ventricular Tachycardia During Office-Based Anesthetic in a Four-Year-Old Child.
abstract: A 4-year-old 16-kg boy presented for full mouth dental rehabilitation in a private pediatric dental office. The patient had no significant previous medical history. Upon sevoflurane induction by a dentist anesthesiologist, the patient converted from normal sinus rhythm to pulseless ventricular tachycardia. Advanced cardiac life support protocol was initiated. After 2 automatic external defibrillator shocks were delivered in conjunction with epinephrine administration, the patient returned to normal sinus rhythm. The patient was transported via emergency medical service paramedics to a local children's hospital emergency room where he was observed uneventfully for 24 hours prior to discharge.
authors.affiliation: Dentist Anesthesiologist, Austin, Texas.
authors.forename: Timothy M
authors.initials: TM
authors.lastname: Orr
authors.affiliation: Chair, University of Nevada, Las Vegas, School of Dental Medicine, Department of Oral Surgery, Las Vegas, Nevada.
authors.forename: Daniel L
authors.initials: DL
authors.lastname: Orr
mesh_terms: D022561:Advanced Cardiac Life Support; D000766:Anesthesia, Dental / Q000379:methods*; D000769:Anesthesia, Inhalation / Q000379:methods*; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D001794:Blood Pressure / Q000502:physiology; D002675:Child, Preschool; D047548:Defibrillators; D004562:Electrocardiography / Q000379:methods; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods; D007530:Isoflurane / Q000008:administration & dosage; D008297:Male; D008738:Methyl Ethers / Q000008:administration & dosage; D010092:Oximetry / Q000379:methods; D000077149:Sevoflurane; D017180:Tachycardia, Ventricular / Q000209:etiology*
chemical_list: D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane; D007530:Isoflurane
keywords: Advanced cardiac life support; Cardiac arrest; Pediatric anesthesia; Pulseless ventricular tachycardia