Torsade de pointes in a patient with acute prolonged QT syndrome and poorly controlled diabetes during sevoflurane anaesthesia

Date

2010

Authors

Thiruvenkatarajan, V.
Osborn, K.
van Wijk, R.
Euler, P.
Sethi, R.
Moodie, S.
Biradar, V.

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Anaesthesia and Intensive Care, 2010; 38(3):555-559

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V. Thiruvenkatarajan, K.D. Osborn, R.M.A.W. van Wijk, P. Euler, R. Sethi, S. Moodie and V. Biradar

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Abstract

The article describes the case of a torsade de pointes resulting from acute prolonged QT interval prolongation in a diabetic patient anesthetized with sevoflurane. Torsade de pointes is a type of ventricular tachycardia. The patient, who was undergoing a laparoscopic nephrectomy, was successfully resuscitated and completely recovered. The case suggests that during prolonged surgery, acute QT interval prolongation should be monitored in any patients with poorly controlled diabetes.

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