Anaesthetic management of a patient with sick sinus syndrome for vaginal hysterectomy
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 8, Issue 2
Abstract
Background: Sick sinus syndrome is a generalised abnormality of cardiac impulse formation that may be caused either by an intrinsic disease of the sinus node, which makes it unable to perform its pacemaking function, or by extrinsic factorsIntrinsic factors include degenerative fibrosis, ion channel dysfunction, and remodeling of the sinoatrial node.Extrinsic factors can be pharmacological, metabolic, or autonomic.It commonly affects elderly persons.Abnormalities encompassed by this syndrome include sinus bradycardia, sinus arrest or exit block, combinations of sinoatrial and atrioventricular nodal conduction disturbances and atrial tachyarrhythmias. Diagnosis of sick sinus syndrome can be difficult because of its nonspecific symptoms and elusive findings on an electrocardiogram or a Holter monitor.Here, we present the perioperative management of an elderly patient with sick sinus syndrome posted for vaginal hysterectomy.
Authors and Affiliations
Manisha Singh, NageshJambure .
Keywords
Related Articles
- EP ID EP449661
- DOI -
- Views 144
- Downloads 0
Comparison of analgesic efficacy of two different preparations of intravenous paracetamol for day care surgeries
Background: Paracetamol is a non- opioid analgesic drug which is widely used for treatment of pain and fever .Intravenous paracetamol (with excipients) given as infusion provide analgesia by the end of 15 minute infusion...
Comparison between ultrasound-guided transversus abdominis plane block and conventional ilioinguinal/iliohypogastric nerve block as post-operative analgesia for unilateral open inguinal hernioplasty under spinal anaesthesia
Background: Open inguinal hernioplasty is commonly performed under spinal anesthesia. Transversus Abdominis Plane (TAP) block or ilioinguinal/iliohypogastric (IHN) block are used for postoperative pain relief in these pa...
Efficacy of dexmedetomidine as an anaesthetic adjuvant for functional endoscopic sinus surgery under general anaesthesia: A randomized controlled study (of 50 cases)
Functional endoscopic sinus surgery (FESS) is one of the commonly performed Surgeries for acute and chronic sinus pathologies and nasal polyps. Dexmedetomidine is highly selective Alpha 2 agonist acts by central mechanis...
Anaesthetic management of a case of dilated cardiomyopathy for breast surgery with supraglottic airway device
Background: Dilated cardiomyopathy (DCM) is defined as a myocardial disease characterised by left ventricle (LV) or biventricular dilatation, normal LV wall thickness, and systolic dysfunction. DCM is defined by two key...
Study of intravenous paracetamol and intravenous tramadol for post operative analgesia in infra umbilical surgery
Background: Relief of postoperative pain is a major concern for patients and anaesthesiologists. Postoperative analgesia has traditionally been provided by opioid analgesics. However, recent trend is to use opioid free a...