Anaesthetic management of patients undergoing surgery for tachyarrhythmias. Initial experience with 16 patients.

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dc.contributor.authorTempe, D Ken_US
dc.contributor.authorJoshi, Nen_US
dc.contributor.authorMehta, Nen_US
dc.contributor.authorKhanna, S Ken_US
dc.contributor.authorBanerjee, Aen_US
dc.contributor.authorTyagi, Sen_US
dc.date.accessioned1997-03-01en_US
dc.date.accessioned2009-05-27T04:23:54Z
dc.date.available1997-03-01en_US
dc.date.available2009-05-27T04:23:54Z
dc.date.issued1997-03-01en_US
dc.description.abstractSixteen patients suffering from various cardiac arrhythmias were treated surgically. Intraoperative computerised electrophysiologic mapping was used in 14. Thirteen patients were suffering from Wolff-Parkinson-White syndrome. They underwent surgical division or cryoablation of accessory pathways. Two patients who had rheumatic mitral stenosis with left atrial clot underwent "Maze III" procedure with open mitral commissurotomy and clot removal. One patient with paroxysmal refractory ventricular tachycardia and a left ventricular aneurysm had an aneurysmectomy with subendocardial resection of the arrhythmic focus. All antiarrhythmic medications were discontinued preoperatively. Morphine was the principal anaesthetic agent, supplemented with halothane. Muscle relaxation was provided with pancuronium bromide. The various problems encountered included hypotension and arrhythmia during placement of epicardial band array for mapping (4 patients), ventricular tachycardia during internal jugular vein cannulation (1 patient) and continuance of delta wave after cryoablation in 2 patients. Halothane may have interfered with electrophysiologic mapping and accurate localization of accessory pathway leading to persistence of delta wave. The choice of anaesthetic agents should be guided by the electrophysiologic effects and potential influence of these agents on the accessory pathways.en_US
dc.description.affiliationDepartment of Anaesthesiology, GB Pant Hospital, New Delhi.en_US
dc.identifier.citationTempe DK, Joshi N, Mehta N, Khanna SK, Banerjee A, Tyagi S. Anaesthetic management of patients undergoing surgery for tachyarrhythmias. Initial experience with 16 patients. Indian Heart Journal. 1997 Mar-Apr; 49(2): 173-8en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/4631
dc.language.isoengen_US
dc.source.urihttps://indianheartjournal.comen_US
dc.subject.meshAdulten_US
dc.subject.meshAnesthesiaen_US
dc.subject.meshAnesthetics, Inhalationen_US
dc.subject.meshBlood Transfusion, Autologousen_US
dc.subject.meshCryosurgeryen_US
dc.subject.meshElectrophysiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHalothaneen_US
dc.subject.meshHeart Conduction System --abnormalitiesen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMuscle Relaxationen_US
dc.subject.meshNeuromuscular Nondepolarizing Agentsen_US
dc.subject.meshPancuroniumen_US
dc.subject.meshTachycardia --surgeryen_US
dc.subject.meshWolff-Parkinson-White Syndrome --surgeryen_US
dc.titleAnaesthetic management of patients undergoing surgery for tachyarrhythmias. Initial experience with 16 patients.en_US
dc.typeJournal Articleen_US
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