Sinus bradycardia following saline irrigation of the pleural cavity during a video-assisted thoracoscopic surgery: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 233-236, 2009.
Article
in Korean
| WPRIM
| ID: wpr-176389
ABSTRACT
A 43-year-old man underwent lipoma excision operation with video-assisted thoracoscopic surgery (VATS). Upon completion of the surgery, 20degrees C 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, 40degrees C 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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Bradycardia
/
Cold Temperature
/
Dietary Sucrose
/
Thoracic Surgery, Video-Assisted
/
Pleural Cavity
/
Heart Rate
/
Hemostasis
/
Lipoma
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2009
Type:
Article
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