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Post-operative Non-sustained Ventricular Tachycardia in a COVID-19 Positive Patient After Ketamine and Dexmedetomidine Infusion

We present a case of an elderly, 75-year-old gentleman with COVID-19 infection and a permanent pacemaker in place, presenting for elective procedure, under monitored anesthesia care with dexmedetomidine. In the postoperative period, while still in the Post Anesthesia Care Unit (PACU), the patient be...

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Detalles Bibliográficos
Autores principales: Sharma, Vandana, Sarwar, Muhammad, Koleini, Evin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8742595/
https://www.ncbi.nlm.nih.gov/pubmed/35024255
http://dx.doi.org/10.7759/cureus.20300
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author Sharma, Vandana
Sarwar, Muhammad
Koleini, Evin
author_facet Sharma, Vandana
Sarwar, Muhammad
Koleini, Evin
author_sort Sharma, Vandana
collection PubMed
description We present a case of an elderly, 75-year-old gentleman with COVID-19 infection and a permanent pacemaker in place, presenting for elective procedure, under monitored anesthesia care with dexmedetomidine. In the postoperative period, while still in the Post Anesthesia Care Unit (PACU), the patient became unresponsive and was found to have episodes of arrhythmia. The patient was managed in the PACU by the anesthesia team. To date, our report is the only one addressing cardiac complications in elderly patients with preexisting cardiac comorbidity, in the immediate perioperative period.
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spelling pubmed-87425952022-01-11 Post-operative Non-sustained Ventricular Tachycardia in a COVID-19 Positive Patient After Ketamine and Dexmedetomidine Infusion Sharma, Vandana Sarwar, Muhammad Koleini, Evin Cureus Anesthesiology We present a case of an elderly, 75-year-old gentleman with COVID-19 infection and a permanent pacemaker in place, presenting for elective procedure, under monitored anesthesia care with dexmedetomidine. In the postoperative period, while still in the Post Anesthesia Care Unit (PACU), the patient became unresponsive and was found to have episodes of arrhythmia. The patient was managed in the PACU by the anesthesia team. To date, our report is the only one addressing cardiac complications in elderly patients with preexisting cardiac comorbidity, in the immediate perioperative period. Cureus 2021-12-09 /pmc/articles/PMC8742595/ /pubmed/35024255 http://dx.doi.org/10.7759/cureus.20300 Text en Copyright © 2021, Sharma et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Sharma, Vandana
Sarwar, Muhammad
Koleini, Evin
Post-operative Non-sustained Ventricular Tachycardia in a COVID-19 Positive Patient After Ketamine and Dexmedetomidine Infusion
title Post-operative Non-sustained Ventricular Tachycardia in a COVID-19 Positive Patient After Ketamine and Dexmedetomidine Infusion
title_full Post-operative Non-sustained Ventricular Tachycardia in a COVID-19 Positive Patient After Ketamine and Dexmedetomidine Infusion
title_fullStr Post-operative Non-sustained Ventricular Tachycardia in a COVID-19 Positive Patient After Ketamine and Dexmedetomidine Infusion
title_full_unstemmed Post-operative Non-sustained Ventricular Tachycardia in a COVID-19 Positive Patient After Ketamine and Dexmedetomidine Infusion
title_short Post-operative Non-sustained Ventricular Tachycardia in a COVID-19 Positive Patient After Ketamine and Dexmedetomidine Infusion
title_sort post-operative non-sustained ventricular tachycardia in a covid-19 positive patient after ketamine and dexmedetomidine infusion
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8742595/
https://www.ncbi.nlm.nih.gov/pubmed/35024255
http://dx.doi.org/10.7759/cureus.20300
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