Desenvolvimento de fibrilação ventricular por causa de etomidato para indução anestésica: um efeito colateral muito raro,relato de caso |
| |
Authors: | Murat Karcioglu Isil Davarci Nuray Kirecci Adnan Burak Akcay Selim Turhanoglu Kasim Tuzcu Sedat Hakimoglu Seckin Akkucuk Akin Aydogan |
| |
Institution: | 1. Departamento de Anestesiologia e Reanimação, Faculdade de Medicina, Mustafa Kemal University, Hatay, Turquia;2. Departamento de Cardiologia, Faculdade de Medicina, Mustafa Kemal University, Hatay, Turquia;3. Departamento de Cirurgia Geral, Faculdade de Medicina, Mustafa Kemal University, Hatay, Turquia |
| |
Abstract: | Background and objectivesVentricular fibrillation occurring in a patient can result in unexpected complications. Here, our aim is to present a case of ventricular fibrillation occurring immediately after anesthesia induction with etomidate administration.Case reportA fifty‐six‐year‐old female patient with a pre‐diagnosis of gallstones was admitted to the operating room for laparoscopic cholecystectomy. The induction was performed by etomidate with a bolus dose of 0.3 mg/kg. Severe and fast adduction appeared in the patient's arms immediately after induction. A tachycardia with wide QRS and ventricular rate 188 beat/min was detected on the monitor. The rhythm turned to VF during the preparation of cardioversion. Immediately we performed defibrillation to the patient. Sinus rhythm was obtained. It was decided to postpone the operation due to the patient's unstable condition.ConclusionIn addition to other known side effects of etomidate, very rarely, ventricular tachycardia and fibrillation can be also seen. To the best of our knowledge, this is the first case regarding etomidate causing VF in the literature. |
| |
Keywords: | Etomidato Induç ã o da anestesia Fibrilaç ã o ventricular |
本文献已被 ScienceDirect 等数据库收录! |
|