A case of ventricular tachycardia induced by coronary spasm during surgery in prone position

Wataru Manabe, Takeshi Yokoyama, Koichi Yamashita, Noriko Kitaoka, Masanobu Manabe, Fumiyasu Yamasaki, Tomoki Nishiyama

研究成果: Contribution to journalArticle査読

1 被引用数 (Scopus)

抄録

A 55-year-old man with hypertension was scheduled for resection of spinal tumor at S1 in the prone position. Anesthesia was induced with midazolam 10 mg, fentanyl 0.2 mg and vecuronium 10 mg, and maintained with sevoflurane 1.5-2% in oxygen 3 l · min-1 and fentanyl 0.4 mg. When the interspinal ligament was handled, severe ST depression on the ECG was observed for 1 minute, followed by ventricular tachycardia (VT). Immediately, 60 mg of lidocaine was administered intravenously, and ventricular rhythm recovered to sinus rhythm with normal ST level within a few minutes, but the surgery was postponed. In the preoperative examinations, the patient had been evaluated as a low risk case except for a long history of hypertension. Coronary spasm was suspected to have induced VT, because it followed severe ST depression. This experience taught us that in order to avoid critical arrhythmia, patients under general anesthesia, especially those undergoing surgery in the prone position, require particular attention because of the difficulty in cardiac resuscitation.

本文言語英語
ページ(範囲)1065-1068
ページ数4
ジャーナルJapanese Journal of Anesthesiology
53
9
出版ステータス出版済み - 9 2004
外部発表はい

All Science Journal Classification (ASJC) codes

  • 麻酔学および疼痛医療

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