| English |
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| Title | Ventricular tachycardia occurred in a hypothermic patient during emergence from general anesthesia |
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| Subtitle | 症例 |
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| Authors | Nao Aoyama*, Mutsuhito Kikura***, Tomosue Takada**, Shigeru Katoh**, Shunsuke Fujii**, Yukako Obata**, Shigehito Sato**** |
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| Authors(kana) | |
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| Organization | *Department of Anesthesiology and Pain Clinic, Seirei-Mikatabara General Hospital, **Department of Anesthesiology and Pain Clinic, Seirei-Mikatabara General Hospital, ***Department of Anesthesiology and Intensive Care, Hamamatsu Medical Center, Shizuoka, ****Department of Anesthesiology and Intensive Care, Hamamatsu University School of Medicine |
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| Journal | Circulation Control |
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| Volume | 25 |
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| Number | 4 |
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| Page | 393-396 |
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| Year/Month | 2004/12 |
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| Article | Report |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | A76-year-old man underwent trans-urethral resection of bladder tumor and laparoscopic total nephroureterectomy of the left renal pelvic and bladder tumor under general anesthesia combined with lumbar epidural anesthesia. Premature ventricular contractions and subsequent ventricular tachycardia occurred at emergence from anesthesia, when his rectal temperature was 33.5℃. Following cardiac massage and lidocaine administration, normal sinus rhythm was obtained. The arrhythmias were suspected to be mainly due to an increase of ventricular alpha- and beta-adrenoreceptor activation induced by perioperative hypothermia and mild hypercapnia. |
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| Practice | Basic medicine |
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| Keywords | hypothermia, ventricular tachycardia, torsade de pointes, general anesthesia, epidural anesthesia |
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