Torsade de Pointes (TdP) Observed during general anesthesia for cerebral aneurysm clipping in a patient with QT prolongation

Japanese Journal of Anesthesiology

Volumn 60, Issue 9, 2011, Pages 1090-1093

  Tajiri, Osamu ^a   Ito, Hiroyuki ^a   Yago, Yasuko ^a   Masumori, Yasushi ^a  

^a KAWASAKI MUNICIPAL TAMA HOSPITAL   (Japan)

Author keywords

QT prolongation; Sevoflurane; Subarachnoid hemorrhage; Torsade de pointes

Indexed keywords

FENTANYL; LIDOCAINE; NITROUS OXIDE PLUS OXYGEN; POTASSIUM; PROPOFOL; SEVOFLURANE; VECURONIUM;

ADULT; ANEURYSM SURGERY; ARTICLE; BRAIN ARTERY ANEURYSM; CASE REPORT; CONTINUOUS INFUSION; FEMALE; GENERAL ANESTHESIA; HUMAN; POTASSIUM BLOOD LEVEL; QT PROLONGATION; SUBARACHNOID HEMORRHAGE; TORSADE DES POINTES;

ANESTHESIA, GENERAL; CEREBRAL HEMORRHAGE; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; INTRACRANIAL ANEURYSM; INTRAOPERATIVE COMPLICATIONS; MIDDLE AGED; TORSADES DE POINTES;

EID: 80053094489     PISSN: 00214892     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (15)

1. Roden DM. Clinical practice. Long-QT syndrome. N Engl J Med 2008; 358 : 169-76.
2. Gupta A, Lawrence AT, Krishnan K, Kavinsky CJ, Trohman RG. Current concepts in the mechanisms and management of drug-induced QT prolongation and torsade de pointes. Am Heart J 2007; 153 : 891-9. (Pubitemid 46809861)
3. Sommargren CE. Electrocardiographic abnormalities in patients with subsrachnoid hemorrhage. Am J Crit Care 2002; 11 : 48-56.
4. Fukui S, Katoh H, Tsuzuki N, Ishihara S, Otani N, Ooigawa H, et al. Multivariate analysis of risk factors for QT prolongation following subarachnoid hemorrhage. Crit Care 2003; 7 : R7-12.
5. Kweon TD, Nam SB, Chang CH, Kim MS, Lee JS, Shin CS, et al. The effect of bolus administration of remifentanil on QTc interval during induction of sevoflurane anaesthesia. Anaesthesia 2008; 63 : 347-51. (Pubitemid 351365031)
6. Magnano AR, Talathoti N, Hallux R, Bloomfield DM, Garan H. Sympathomimetic infusion and cardiac repolarization : The normative effects of epinephrine and isoproterenol in healthy subjects. J Cardiovasc Electrophysiol 2006; 17 : 983-9.
7. Roden DM. Drug-induced prolongation of the QT interval. N Engl J Med 2004; 350 : 1013-22. (Pubitemid 38269278)
8. Kao LU, Kirk MA, Evers SJ, Rosenfeld SH. Droperidol, QT prolongation, and sudden death : What is the evidence? Ann Emerg Med 2003; 41 : 546-58.
9. Takenaka I, Aoyama K, Iwagaki T, Ishimuna H, Kadoya T. Development of torsade de pointes caused by exacerbation of QT prolongation during clipping of cerebral artery aneurysm in a patient with subarachnoid haemorrhage. Br J Anaesth 2006; 97 : 533-5. (Pubitemid 44424225)
10. Booker PD, Whyte SD, Ladusans EJ. Long QT syndrome and anaesthesia. Br J Anaesth 2003; 90 : 349-66. (Pubitemid 36304879)
11. Kleinsasser A, Kuenszberg E, Loeckinger A, Keller C, Hoermann C, Lindner K, et al. Sevoflurane, but not propofol, significantly prolongs the Q-T interval. Anesth Analg 2000; 90 : 25-7. (Pubitemid 30022962)
12. Saussine M, Massad I, Raczka F, Davy J, Frapier J. Torsades de pointes during sevoflurane anesthesia in a child with congenital long QT syndrome. Pediatr Anesth 2006; 16 : 63-5.
13. Abe K, Takada K, Yoshiya I. Intraoperative torsade de pointes ventricular tachycardia and ventricular fibrillation during sevoflurane anesthesia. Anesth Analg 1998; 86 : 701-2. (Pubitemid 28177716)
14. Aypar E, Karagoz AH, Ozer S, Celiker A, Ocal T. The effects of sevoflurane and desflurane anesthesia on QTc interval and cardiac rhythm in children. Pediatr Anesth 2007; 17 : 563-7. (Pubitemid 46718173)
15. Saitoh K, Suzuki H, Hirabayashi Y, Fukuda H, Igarashi T, Inoue S, et al. Nicorandil successfully abolished intraoperetive torsade de pointes. Anesthesiology 1998; 88 : 1669-71. (Pubitemid 28283802)