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KMID : 0356920090570020233
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Korean Journal of Anesthesiology
2009 Volume.57 No. 2 p.233 ~ p.236
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Sinus bradycardia following saline irrigation of the pleural cavity during a video-assisted thoracoscopic surgery - A case report -
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Park Sang-Jin
Lee Dong-Won
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Abstract
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A 43-year-old man underwent lipoma excision operation with video-assisted thoracoscopic surgery (VATS). Upon completion of the surgery, 20oC cold saline irrigation was performed to clean the surgical field. During this procedure, a sudden sinus bradycardia (33 beats/min) occurred. After interruption of the irrigation, the normal sinus rhythm returned spontaneously. With the suspicion that the cold saline could have induced the bradycardia, 40oC warm saline irrigation was performed; however, the repeat sinus bradycardia occurred again. The saline irrigation was stopped and the heart rate returned to normal. We conclude that although warm saline irrigation is a common practice after surgical procedures to ensure hemostasis and to clean the surgical field, it may induce profound sinus bradycardia.
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KEYWORD
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Bradycardia, Saline irrigation, Video-assisted thoracoscopic surgery
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