Severe Hypotension and Supraventricular Tachycardia during Insertion of Subclavian Catheter on a Patient with Wolff-Parkinson-White Syndrome: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 493-496, 2004.
Article
em Ko
| WPRIM
| ID: wpr-191924
Biblioteca responsável:
WPRO
ABSTRACT
Wolff-Parkinson-White (WPW) syndrome is characterized by classical electrocardiographic findings resulting from preexcitation of a part of the ventricular myocardium due to anomalous atrioventricular conduction via a accessory pathway. Anesthetic management with this syndrome is aimed at avoiding tachycardia and cardiac arrhythmia by using the techniques to avoid hypoxia, hypercarbia, acidosis and sympathetic stimulation. We experienced a case of severe hypotension and paroxysmal supraventricular tachycardia (PSVT) during insertion of subclavian vein catheter on a patient with this syndrome prior to operation, in spite of adequate anesthetic management. The patient's condition was recovered after infusion of adenosine and removal of catheter. Operation was postponed for further evaluation of WPW syndrome. After 3 days, electrophysiologic study was done and accessory pathway was ablated by radiofrequency catheter. After 6 days, the patient was operated uneventfully and discharged 2 weeks later. We report that minor stimulation such as central venous catheterization on a patient with WPW syndrome can cause life-threatening severe hypotension and PSVT.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Arritmias Cardíacas
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Veia Subclávia
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Taquicardia
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Acidose
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Síndrome de Wolff-Parkinson-White
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Taquicardia Supraventricular
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Cateterismo Venoso Central
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Adenosina
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Eletrocardiografia
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Catéteres
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2004
Tipo de documento:
Article