The development of ventricular fibrillation due to etomidate for anesthetic induction: a very rare side effect, case report
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Anestesiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942014000500365 |
Resumo: | Background and objectives:Ventricular 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 report:A 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.Conclusion:In 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. |
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The development of ventricular fibrillation due to etomidate for anesthetic induction: a very rare side effect, case reportEtomidateInduction of anesthesiaVentricular fibrillationBackground and objectives:Ventricular 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 report:A 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.Conclusion:In 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.Sociedade Brasileira de Anestesiologia2014-10-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942014000500365Revista Brasileira de Anestesiologia v.64 n.5 2014reponame:Revista Brasileira de Anestesiologia (Online)instname:Sociedade Brasileira de Anestesiologia (SBA)instacron:SBA10.1016/j.bjane.2013.06.009info:eu-repo/semantics/openAccessKarcioglu,MuratDavarci,IsilKirecci,NurayAkcay,Adnan BurakTurhanoglu,SelimTuzcu,KasimHakimoglu,SedatAkkucuk,SeckinAydogan,Akineng2015-09-01T00:00:00Zoai:scielo:S0034-70942014000500365Revistahttps://www.sbahq.org/revista/https://old.scielo.br/oai/scielo-oai.php||sba2000@openlink.com.br1806-907X0034-7094opendoar:2015-09-01T00:00Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)false |
dc.title.none.fl_str_mv |
The development of ventricular fibrillation due to etomidate for anesthetic induction: a very rare side effect, case report |
title |
The development of ventricular fibrillation due to etomidate for anesthetic induction: a very rare side effect, case report |
spellingShingle |
The development of ventricular fibrillation due to etomidate for anesthetic induction: a very rare side effect, case report Karcioglu,Murat Etomidate Induction of anesthesia Ventricular fibrillation |
title_short |
The development of ventricular fibrillation due to etomidate for anesthetic induction: a very rare side effect, case report |
title_full |
The development of ventricular fibrillation due to etomidate for anesthetic induction: a very rare side effect, case report |
title_fullStr |
The development of ventricular fibrillation due to etomidate for anesthetic induction: a very rare side effect, case report |
title_full_unstemmed |
The development of ventricular fibrillation due to etomidate for anesthetic induction: a very rare side effect, case report |
title_sort |
The development of ventricular fibrillation due to etomidate for anesthetic induction: a very rare side effect, case report |
author |
Karcioglu,Murat |
author_facet |
Karcioglu,Murat Davarci,Isil Kirecci,Nuray Akcay,Adnan Burak Turhanoglu,Selim Tuzcu,Kasim Hakimoglu,Sedat Akkucuk,Seckin Aydogan,Akin |
author_role |
author |
author2 |
Davarci,Isil Kirecci,Nuray Akcay,Adnan Burak Turhanoglu,Selim Tuzcu,Kasim Hakimoglu,Sedat Akkucuk,Seckin Aydogan,Akin |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Karcioglu,Murat Davarci,Isil Kirecci,Nuray Akcay,Adnan Burak Turhanoglu,Selim Tuzcu,Kasim Hakimoglu,Sedat Akkucuk,Seckin Aydogan,Akin |
dc.subject.por.fl_str_mv |
Etomidate Induction of anesthesia Ventricular fibrillation |
topic |
Etomidate Induction of anesthesia Ventricular fibrillation |
description |
Background and objectives:Ventricular 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 report:A 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.Conclusion:In 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. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942014000500365 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942014000500365 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.bjane.2013.06.009 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Anestesiologia v.64 n.5 2014 reponame:Revista Brasileira de Anestesiologia (Online) instname:Sociedade Brasileira de Anestesiologia (SBA) instacron:SBA |
instname_str |
Sociedade Brasileira de Anestesiologia (SBA) |
instacron_str |
SBA |
institution |
SBA |
reponame_str |
Revista Brasileira de Anestesiologia (Online) |
collection |
Revista Brasileira de Anestesiologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA) |
repository.mail.fl_str_mv |
||sba2000@openlink.com.br |
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1752126628187602944 |