Journal of Research & Innovation in Anesthesia

Register      Login

VOLUME 6 , ISSUE 1 ( January-June, 2021 ) > List of Articles

CASE REPORT

Abdominal Retractor and Intraoperative Arrhythmia

Arpita Das, Sarika Sudhir Naik, Dhananjay Reddy

Keywords : Arrhythmia, Regional anesthesia, Retractor

Citation Information : Das A, Naik SS, Reddy D. Abdominal Retractor and Intraoperative Arrhythmia. Res Inno in Anesth 2021; 6 (1):25-26.

DOI: 10.5005/jp-journals-10049-0096

License: CC BY-NC 4.0

Published Online: 30-07-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Intraoperative arrhythmias are frequently seen. Mostly during cardiac surgeries and general anesthesia. Ventricular premature complexes (VPCs) constitute 15% of these arrhythmias and are benign in nature. However, if VPCs are persistent and not treated on time, can lead to life-threatening arrhythmia. We discussed a case report of 37-year-old woman with no preexisting comorbidities, when administered regional anesthesia for abdominal hysterectomy, had repeated VPCs. Arrhythmias were related to abdominal retractor position and were aborted when the retractor was removed from the surgical area.


PDF Share
  1. Forrest JB, Rehder K, Cahalan MK, et al. Multicenter study of general anesthesia. III. Predictors of severe perioperative adverse outcomes. Anesthesiology 1992;76(1):3–15. DOI: 10.1097/00000542-199201000-00002.
  2. Fisher DM. Preoperative cardiac dysrhythmias; diagnosis and management. Anesthesiology 1997;86(6):1397–1424. DOI: 10.1097/00000542-199706000-00026.
  3. Sokolow M, Mcllroy B. Clinical radiology. 4th ed., New York: Lange; 1986. pp. 116–117.
  4. Dua N, Kumra VP. Management of perioperative arrhythmias. Indian J Anaesth 2007;51:310–323.
  5. Anand N, Anand M, Mathur AV, et al. Intraoperative ventricular bigeminy: can retractor be a cause. J Anaesthesiol Clin Pharmacol 2010;26(4):569–570.
  6. Bindal M, Demir A. Intraoperative new-onset atrial fibrillation with a surprising reason in a whippe operation. GKDA Derg 2019;25(1):72–74.
  7. Kasinath NS, Malak O, Tetzlaff J. Atrial fibrillation after ondansetron for prevention and treatment of postoperative nausea and vomiting: a case report. Can J Anaesth 2003;50(3):229–231. DOI: 10.1007/BF03017789.
  8. Rao G, Zikria EA, Miller WH, et al. Cardiac arrhythmia after dexamethsaone. JAMA 1972;222(9):1185. DOI: 10.1001/jama.1972.03210090065040.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.