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KMID : 0376419810050010193
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Chonbuk University Medical Journal
1981 Volume.5 No. 1 p.193 ~ p.197
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CARDIAC ARRHYTHMIAS DURING GENERAL ANESTHESIA
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Abstract
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The incidence of cardiac arrythmias during general anesthesia is up to 30 to 50 percent and most of them are supraventricular arrhythmias such as atrial rhythm, AV junctional rhythm, wandering pacemaker, or sinus arrest. But one can frequently confront the occurence of ventricular arrhythmias, and even cardiovascular collapse under variable circumstances during general anesthesia, especially in the patient with cardiovascular diseases including hypertension, thyrotoxicosis, and ischemic heart disease.
The authors observed that one patient having preeperative Lypertension who underwent vaginal b.ysterectemy had developed various kinds of arrhythmias during induction, after local infiltration of epinephrine to minimize bleeding frc.m the operative site, and during the traction of the uterus to be resected, under halothane anesthesia.
There should be a close communication between surgeons and anesthesiologists in the mar.-agement of the operative patients not Orly to minimize the cccurer.ce of sirtytlmias but also to prevent even more serous mishaps such as cardiovascular collapse during operation and anesthesia. Every predisposing factors should be evaluated and appropriately managed as well.
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