Document Detail

Management of perioperative arrhythmias.
MedLine Citation:
PMID:  9106008     Owner:  NLM     Status:  MEDLINE    
Electrocardiography was the first application of electronic monitoring to anesthesia care. The detection of arrhythmias remains the most important use of this technology today. Several predisposing factors tend to emerge when perioperative arrhythmias are evaluated. These are the anesthetic given, the site of surgery, abnormalities of blood gases or electrolytes, tracheal intubation, reflexes such as vagal slowing and the oculocardiac reflex, stimulation of the central nervous system, the presence of preexisting heart disease, and the use of intracardiac devices. In the evaluation of cardiac arrhythmias, several facts need to be determined. The most important is to determine if there is an underlying complication of anesthesia and surgery that may explain the arrhythmia. In addition, it is vital to evaluate the heart rate, the regularity, the number of P waves per QRS, and the configuration of the QRS. The anesthesiologist needs to determine whether the rhythm is dangerous to the patient and whether it requires treatment. Prompt evaluation and management of perioperative arrhythmias reduce anesthetic morbidity and mortality. This article reviews the causes and pharmacological treatment of major abnormalities of atrial and ventricular cardiac arrhythmias occurring in the perioperative period.
T W Feeley
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of cardiothoracic and vascular anesthesia     Volume:  11     ISSN:  1053-0770     ISO Abbreviation:  J. Cardiothorac. Vasc. Anesth.     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-07-17     Completed Date:  1997-07-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9110208     Medline TA:  J Cardiothorac Vasc Anesth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  10-5; discussion 24-5     Citation Subset:  IM    
Department of Anesthesia, Stanford University School of Medicine, CA 94305-5115, USA.
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MeSH Terms
Anesthetics / administration & dosage
Arrhythmias, Cardiac / diagnosis,  etiology,  therapy*
Atrial Function
Brain / physiology
Carbon Dioxide / blood
Electrolytes / blood
Heart Diseases / complications
Heart Rate
Intraoperative Complications / diagnosis,  therapy*
Intubation, Intratracheal
Monitoring, Intraoperative
Oxygen / blood
Reflex / physiology
Reflex, Oculocardiac / physiology
Risk Factors
Spinal Cord / physiology
Surgical Procedures, Operative
Vagus Nerve / physiology
Ventricular Dysfunction / diagnosis,  etiology,  therapy
Reg. No./Substance:
0/Anesthetics; 0/Electrolytes; 124-38-9/Carbon Dioxide; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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