Anaesthesia and the QT interval in humans: Effects of halothane and isoflurane in premedicated children

European Journal of Anaesthesiology

Volumn 15, Issue 6, 1998, Pages 623-628

  Michaloudis, D ^a,b   Fraidakis, O ^a   Lefaki, T ^a   Kanakoudis, F ^a   Askitopoulou, H ^a  

^a UNIVERSITY HOSPITAL OF IRAKLION   (Greece)

^b NONE   (Greece)

Author keywords

Anaesthetics, volatile, halothane, isoflurane; ECG, QT interval, children

Indexed keywords

HALOTHANE; ISOFLURANE; MIDAZOLAM; OXYGEN; VECURONIUM;

ANESTHESIA INDUCTION; ARTERIAL PRESSURE; ARTICLE; ELECTROCARDIOGRAM; ENDOTRACHEAL INTUBATION; FEMALE; HEART RATE; HUMAN; INHALATIONAL DRUG ADMINISTRATION; INTRAVENOUS DRUG ADMINISTRATION; LARYNGOSCOPY; LARYNX SPASM; MAJOR CLINICAL STUDY; MALE; PREMEDICATION; PRESCHOOL CHILD; QT INTERVAL; TACHYCARDIA; TREATMENT INDICATION;

EID: 0032439825     PISSN: 02650215     EISSN: None     Source Type: Journal    
DOI: 10.1097/00003643-199811000-00001     Document Type: Article

References (34)

1. Schwartz PJ, Periti M, Malliani A. The long Q-T syndrome. Am Heart J 1975; 89: 378-390.
2. Moss AJ. Prolonged QT-interval syndromes. JAMA 1986; 256: 2985-2987.
3. Wig J, Bali IM, Singh RG, Kataria RN, Khattri HN. Prolonged QT interval syndrome. Sudden cardiac arrest during anaesthesia. Anaesthesia 1979; 34: 37-40.
4. Holland JJ. Cardiac arrest under anaesthesia in a child with previously undiagnosed Jervell and Lange-Nielsen syndrome. Anaesthesia 1993; 48: 149-151.
5. Schmeling WT, Warltier DC, MacDonald DJ, Madsen KE, Atlee JL, Kampine JP. Prolongation of the QT interval by enflurane, isoflurane, and halothane in humans. Anesth Analg 1991; 72: 137-144.
6. Michaloudis D, Fraidakis O, Lefaki T, Dede I, Kanakoudes F, Askitopoulou H, Pollard BJ. Anaesthesia and the QT interval in humans: the effects of isoflurane and halothane. Anaesthesia 1996; 51: 219-224.
7. McConachie I, Keaveny JP, Healy TEJ, Vohra S, Million L. Effect of anaesthesia on the QT interval. Br J Anaesth 1989; 63: 558-560.
8. Lindgren L. ECG changes during halothane and enflurane anaesthesia for ENT surgery in children. Br J Anaesth 1981; 53: 653-661.
9. Saarnivaara L, Klemola U-M, Lindgren L. QT interval of the ECG, heart rate and arterial pressure using five nondepolarizing muscle relaxants for intubation. Acta Anaesthesiol Scand 1988; 32: 623-628.
10. Saarnivaara L, Klemola U-M, Lindgren L, Rautiainen P, Suvanto A. QT interval of the ECG, heart rate and arterial pressure using propofol, methohexital or midazolam for induction of anaesthesia. Acta Anaesthesiol Scand 1990; 34: 276-281.
11. Schwartz PJ, Locati E, Priori SG, Zaza A. The long Q-T syndrome. In: Zipes D, Jalife J, eds. Cardiac Electrophysiology. New York: W. B. Saunders, 1990: 589-605.
12. Galloway PA, Glass PSA. Anesthetic implications of prolonged QT interval syndromes. Anesth Analg 1985; 64: 612-620.
13. Saarnivaara L, Lindgren L. Prolongation of QT interval during induction of anaesthesia. Acta Anaesthesiol Scand 1983; 27: 126-130.
14. Lindgren L, Yli-Hankala A, Randell T, Kirvela M, Scheinin M, Neuvonen PJ. Haemodynamic and catecholamine responses to induction of anaesthesia and tracheal intubation: comparison between propofol and thiopentone. Br J Anaesth 1993; 70: 306-310.
15. Michaloudis DG, Kanakoudis FS, Petrou AM, Konstantinidou AS, Pollard BJ. The effects of midazolam or propofol followed by suxamethonium on the QT interval in humans. Eur J Anaesthesiol 1996; 13: 364-368.
16. Saarnivaara L, Hiller A, Oikkonen M. QT interval, heart rate and arterial pressures using propofol, thiopentone or methohexitone for induction of anaesthesia in children. Acta Anaesthesiol Scand 1993; 37: 419-423.
17. Michaloudis DG, Kanakoudis FS, Xatzikraniotis A, Bischiniotis TS. The effects of midazolam followed by administration of either vecuronium or atracurium on the QT interval in humans. Eur J Anaesthesiol 1995; 12: 577-583.
18. Lischke V, Wilke HJ, Probst S, Behne M, Kessler P. Prolongation of the QT-interval during induction of anaesthesia in patients with coronary artery disease. Acta Anaesthesiol Scand 1994; 38: 144-148.
19. Scheinin B, Scheinin M, Vuorinen J, Lindgren L. Alfentanil obtunds the cardiovascular and sympathoadrenal responses to suxamethonium-facilitated laryngoscopy and intubation. Br J Anaesth 1989; 62: 385-392.
20. Hermann R, Klein G, Möller H, Kratz A, Lischke V. The influence of the induction of anaesthesia on the QT interval. Anaesthesist 1990; 39: 623-625.
21. Blair JR, Pruett JK, Crumrine RS, Balser JS. Prolongation of QT interval in association with the administration of large doses of opiates. Anesthesiology 1987; 67: 442-443.
22. Riley DC, Schmeling WT, Al-Wathiqui MH, Kampine JP, Warltier DC. Prolongation of the QT interval by volatile anesthetics in chronically instrumented dogs. Anesth Analg 1988; 67: 741-749.
23. Kanakoudis F, Petrou A, Kalaitzidis A, Konstantinidou A, Michaloudis DG. QT interval after isoflurane or halothane administration during surgical procedures. Br J Anaesth 1994; 72 (Suppl. I): A63.
24. Scheffer GJ, Jonges R, Holley HS, Grimbergen CA, Ros HH, Peper A, Booij LHDJ. Effects of halothane on the conduction system of the heart in humans. Anesth Analg 1989; 69: 721-726.
25. Turner DAB, Shribman AJ, Smith G, Achola KJ. Effect of halothane on cardiovascular and plasma catecholamine responses to tracheal intubation. Br J Anaesth 1986; 58: 1365-1370.
26. Russell WJ, Morris RG, Frewin DB, Drew SE. Changes in plasma catecholamine concentrations during endotracheal intubation. Br J Anaesth 1981; 53: 837-839.
27. Phillips AJ, Brimacombe JR, Simpson DL. Anaesthetic induction with isoflurane or halothane. Oxygen saturation during induction with isoflurane or halothane in unpremedicated children. Anaesthesia 1988; 43: 927-929.
28. Lindgren L, Randell T, Saarnivaara L. Comparison of inhalation induction with isoflurane or halothane in children. Eur J Anaesthesiol 1991; 8: 33-37.
29. Nishino T, Tanaka A, Ishikawa T, Hiraga K. Respiratory, laryngeal, and tracheal responses to nasal insufflation of volatile anesthetics in anesthetized humans. Anesthesiology 1991; 75: 441-444.
30. Warde D, Nagi H, Raftery S. Respiratory complications and hypoxic episodes during inhalation induction with isoflurane in children. Br J Anaesth 1991; 66: 327-330.
31. Raftery S, Warde D. Oxygen saturation during inhalation induction with halothane and isoflurane in children: effect of premedication with rectal thiopentone. Br J Anaesth 1990; 64: 167-169.
32. Yli-Hankala A, Randell T, Seppala T, Lindgren L. Increases in hemodynamic variables and catecholamine levels after rapid increase in isoflurane concentration. Anesthesiology 1993; 78: 266-271.
33. Ishikawa T, Nishino T, Hiraga K. Immediate responses of arterial blood pressure and heart rate to sudden inhalation of high concentrations of isoflurane in normotensive and hypertensive patients. Anesth Analg 1993; 77: 1022-1025.
34. Weiskopf RB, Moore MA, Eger EI, Il Noorani M, McKay L, Chortkoff B, Hart PS, Damask M. Rapid increase in desflurane concentration is associated with greater transient cardiovascular stimulation than rapid increase in isoflurane concentration in humans. Anesthesiology 1994; 80: 1035-1045.