Accelerated idioventricular rhythm observed under total intravenous anesthesia using remifentanil, propofol, and rocuroniumReport as inadecuate




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JA Clinical Reports

, 1:12

First Online: 07 September 2015Received: 14 July 2015Accepted: 01 September 2015

Abstract

Accelerated idioventricular rhythm AIVR during anesthesia has been described in several drug toxicity such as from cocaine, halothane, desflurane, and propofol. We present the case of a man who developed episodes of AIVR observed under total intravenous anesthesia TIVA using remifentanil, propofol, and rocuronium. AIVR during anesthesia was a benign phenomenon, and further examinations after surgery showed no structural heart disease and the daily occurrence of idioventricular arrhythmias. This case suggests that the suppression of sinus and atrioventricular nodal function and the autonomic imbalance caused by propofol and remifentanil may induce AIVR with greater frequency.

KeywordsAccelerated idioventricular rhythm Total intravenous anesthesia Remifentanil Propofol  Download fulltext PDF



Author: Mika Nakanishi - Kaoru Masumo - Takako Oota - Takeshi Kato - Toshihiro Imanishi

Source: https://link.springer.com/



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