Management of ventricular storm with thoracic epidural anesthesia
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Date
2019-10
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Kluwer - Medknow
Abstract
The incidence of recurrent ventricular arrhythmias is increasing these days. Ventricular electrical storm can be of three types as follows: monomorphic ventricular tachycardia (VT), polymorphic VT, and ventricular fibrillation. The mechanism of ventricular storm is complex, and its management is quite a challenge for the clinicians due to its life-threatening consequences. We report a case of ventricular storm in whom all the conventional methods for the management of arrhythmias were ineffective, and the case is managed effectively with thoracic epidural anesthesia (TEA). A 60-year-old male patient was admitted to recurrent ventricular arrhythmias. He received defibrillator shocks and other antiarrhythmic drugs, but he was not responding to the treatment. We managed to revert the ventricular arrhythmias to the sinus rhythm with TEA. Ventricular storm is a challenging complication, which can be managed effectively with timely diagnosis and effective management.
Description
Keywords
Epidural anesthesia, monomorphic VT, ventricular storm
Citation
Basantwani Shakuntala, Shinde Shital R, Tendolkar Bharati. Management of ventricular storm with thoracic epidural anesthesia. Annals of Cardiac Anaesthesia. 2019 Oct; 22(4): 439-441