Torsade de pointes in liver transplantation recipient after induction of general anesthesia: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 80-84, 2014.
Artículo
en Inglés
| WPRIM
| ID: wpr-52953
ABSTRACT
Torsade de pointes (TdP) is an uncommon and specific form of polymorphic ventricular tachycardia, associated with a prolonged QT interval. Prolongation of the QT interval is the most widely recognized electrophysiological abnormality in patients with liver cirrhosis. We observed a case of TdP leading to cardiopulmonary resuscitation after the induction of general anesthesia, in a patient with liver cirrhosis scheduled for emergency cadaveric donor liver transplantation. The patient had mild QT prolongation on preoperative electrocardiography with a corrected QT (QTc) interval of 455 ms. Drugs used in the preoperative period can elongate cardiac repolarization. Sevoflurane and 5-hydroxytryptamine type 3 receptor antagonists such as palonsetron, used during general anesthesia may have triggered further QT prolongation, producing a fatal condition such as TdP. More caution and consideration in selecting drugs for anesthetic management are necessary for liver cirrhosis patients, especially in patients with preoperative QT prolongation.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Donantes de Tejidos
/
Síndrome de QT Prolongado
/
Cadáver
/
Serotonina
/
Torsades de Pointes
/
Trasplante de Hígado
/
Reanimación Cardiopulmonar
/
Taquicardia Ventricular
/
Electrocardiografía
/
Urgencias Médicas
Límite:
Humanos
Idioma:
Inglés
Revista:
Korean Journal of Anesthesiology
Año:
2014
Tipo del documento:
Artículo
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