Accelerated idioventricular rhythm observed under total intravenous anesthesia using remifentanil, propofol, and rocuronium

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, propof...

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Autores principales: Nakanishi, Mika, Masumo, Kaoru, Oota, Takako, Kato, Takeshi, Imanishi, Toshihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5818701/
https://www.ncbi.nlm.nih.gov/pubmed/29497644
http://dx.doi.org/10.1186/s40981-015-0016-3
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author Nakanishi, Mika
Masumo, Kaoru
Oota, Takako
Kato, Takeshi
Imanishi, Toshihiro
author_facet Nakanishi, Mika
Masumo, Kaoru
Oota, Takako
Kato, Takeshi
Imanishi, Toshihiro
author_sort Nakanishi, Mika
collection PubMed
description 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.
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spelling pubmed-58187012018-02-27 Accelerated idioventricular rhythm observed under total intravenous anesthesia using remifentanil, propofol, and rocuronium Nakanishi, Mika Masumo, Kaoru Oota, Takako Kato, Takeshi Imanishi, Toshihiro JA Clin Rep Case Report 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. Springer Berlin Heidelberg 2015-09-07 2015 /pmc/articles/PMC5818701/ /pubmed/29497644 http://dx.doi.org/10.1186/s40981-015-0016-3 Text en © The Author(s) 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Nakanishi, Mika
Masumo, Kaoru
Oota, Takako
Kato, Takeshi
Imanishi, Toshihiro
Accelerated idioventricular rhythm observed under total intravenous anesthesia using remifentanil, propofol, and rocuronium
title Accelerated idioventricular rhythm observed under total intravenous anesthesia using remifentanil, propofol, and rocuronium
title_full Accelerated idioventricular rhythm observed under total intravenous anesthesia using remifentanil, propofol, and rocuronium
title_fullStr Accelerated idioventricular rhythm observed under total intravenous anesthesia using remifentanil, propofol, and rocuronium
title_full_unstemmed Accelerated idioventricular rhythm observed under total intravenous anesthesia using remifentanil, propofol, and rocuronium
title_short Accelerated idioventricular rhythm observed under total intravenous anesthesia using remifentanil, propofol, and rocuronium
title_sort accelerated idioventricular rhythm observed under total intravenous anesthesia using remifentanil, propofol, and rocuronium
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5818701/
https://www.ncbi.nlm.nih.gov/pubmed/29497644
http://dx.doi.org/10.1186/s40981-015-0016-3
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