Accelerated idioventricular rhythm observed under total intr
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Accelerated idioventricular rhythm (AIVR) during anaesthesia has been described in several drug toxicity such as from cocaine, halothane, desflurane, and propofol. This article presents the case of a man who developed episodes of AIVR observed under total intravenous anaesthesia (TIVA) using remifentanil, propofol, and rocuronium. AIVR during anaesthesia was a benign phenomenon, and further examinations after surgery showed no structural heart disease and the daily occurrence of idioventricular arrhythmias. This case suggests that the suppression of sinus and atrioventricular nodal function and the autonomic imbalance caused by propofol and remifentanil may induce AIVR with greater frequency...

http://bit.ly/2ygMWzt
1 share
Like
Comment
Share