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KMID : 0356919770100030187
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Korean Journal of Anesthesiology
1977 Volume.10 No. 3 p.187 ~ p.191
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A Case Report of Anesthesia for Intractable Ventricular Dysrhythmia
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閔炳佑/Min, Byung Woo
趙誠璟/朴大源/李相華/Cho, Sung Kyung/Park, Dae Won/Lee, Sang Hwa
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Abstract
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During any anesthesia, the patient´s general condition must be observed continuously but even more so in patients with cardiac disease.
Cardiac dysphthmias may he observed by continuous ECG monitoring in the operating theatre even in normal patients but the intractable ventricular dysrythmias are serious problems and a cause of great goncern.
Any serious cardiac condition must be ascertained and treated at once with various antiarrhythmic agents or other techniques, such as D.C shock, carotid sinus pressure, eye-ball pressure, positive inotropics, or atropine, etc.
With an anesthesia for an intractable ventricular dysthythmia, the authors found that this could mot be restored to a normal rhythm by means of various antiarrhythmic agents.
Several months previously, the patient had been in another hospital in a state of septic shock which apparently affected the myocardium, resulting in ischemic cardiomyopathy.
Immediately after the completion of the operation and anesthesia, the patient, with the aid of specific drugs and chest thumps, regained consciousness with relative normal cardiac rhythm.
We would conclude that continuous ECG monitoring, close observation, as well as specific antiarrhythmic agents, are most essential during anesthesia of a patient with cardiac disease.
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