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Czasopismo
2010 | 5 | 2 | 209-214
Tytuł artykułu

Comparison of the effect of sevoflurane and desflurane on postoperative arrhythmia and QT dispersion

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of this study was to investigate the effect of sevoflurane and desflurane on cardiac arrhythmias in adult patients who will be anesthetized. A total of 40 patients who were in the ASA I–II group and who were to undergo elective surgery were included in the study. No pre-medication was administered to the patients. They were monitored with the Holter equipment at preoperative 24 hours, and also at postoperative 24 hours on condition that Holter monitoring will begin before induction. Following routine monitoring, the patients were randomly divided into two equal groups; group one was given sevoflurane and group two was given desflurane. In this study, desflurane and sevoflurane resulted in both a significant prolongation of QT and QTc and a significant increase in QT and QTc dispersion when compared with the basal values. In the sevoflurane group, there was no significant increase in postoperative ventricular arrhythmia, compared to that during the preoperative period. However, this increase was significant in the desflurane group (p = 0.009). Sevoflurane and desflurane result in an increase in QT dispersion. Postoperative rhythmic control should carefully be monitored, especially in the desflurane group.
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Wydawca

Czasopismo
Rocznik
Tom
5
Numer
2
Strony
209-214
Opis fizyczny
Daty
wydano
2010-04-01
online
2010-04-17
Twórcy
  • Department of Anesthesiology, Atatürk Education and Research Hospital, 06800, Ankara, Turkey
autor
  • Department of Cardiology, Atatürk Education and Research Hospital, 06800, Ankara, Turkey, ekremyeter@hotmail.com
autor
  • Department of Cardiology, Atatürk Education and Research Hospital, 06800, Ankara, Turkey
  • Department of Anesthesiology, Atatürk Education and Research Hospital, 06800, Ankara, Turkey
autor
  • Department of Anesthesiology, Atatürk Education and Research Hospital, 06800, Ankara, Turkey
autor
  • Department of Cardiology, Atatürk Education and Research Hospital, 06800, Ankara, Turkey
autor
  • Department of Cardiology, Atatürk Education and Research Hospital, 06800, Ankara, Turkey
autor
  • Department of Anesthesiology, Atatürk Education and Research Hospital, 06800, Ankara, Turkey
Bibliografia
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  • [5] Wisely NA, Shipton EA. Long QT syndrome and anaesthesia. Eur J Anaesthesiol 2002;19: 853–859 [Crossref]
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  • [7] Guler N. Bilge M, Eryonucu B, Katı İ, Demirel CB, Topal C. The effects of volatile anesthetics on the QTc interval. J Cardiothorac Vasc Anesth 2001;15: 188–191 http://dx.doi.org/10.1053/jcan.2001.21949[Crossref]
  • [8] Schmeling WT, Warltier DC, McDonald DJ, et al. Prolongation of the QT interval by enflurane isoflurane and halothane in humans. Anesth Analg 1991; 72: 137–144 [PubMed][Crossref]
  • [9] Schouten E, Dekker M. QT interval prolongation predicts cardiovascular mortality in an apparently healthy population. Circulation 1991;84:1516–1523 [Crossref]
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  • [11] Guer N, Bilge M, Eryenucu B, Katı İ Demirel CB. The effects of halothane and sevoflurane on QT dispersion. Acta Cardiology 1999; 54: 311–315
  • [12] Kleinsasser A, Loeckinger A, Lindner KH, Keller C, Boehler M, Puehringer F. Reversing sevofluraneassociated Q-Tc prolongation by changing to propofol. Anaesthesia 2001; 56: 248–250 http://dx.doi.org/10.1046/j.1365-2044.2001.01717.x[Crossref]
  • [13] Gürkan Y, Canatay H, Agacdiken A, Ural E, Toker K. Effects of halothane and sevoflurane on QT dispersion in paediatric patients. Paediatr Anaesth 2003; 13: 223–227 http://dx.doi.org/10.1046/j.1460-9592.2003.01041.x[Crossref]
  • [14] Yıldırım H, Adanır T, Atay K, Katırcıoğlu K, Savacı S. The effects of sevoflurane, isoflurane and daesflurane on QT interval of the ECG. Eur J Anaesthesiol 2004;21566–21570
  • [15] Blayney MR, Malins AF, Cooper GM. Cardiac arrhythmias in children during outpatient general anaesthesia for dentistry: a prospective randomised trial. Lancet. 1999; 27;354:1864–1866 http://dx.doi.org/10.1016/S0140-6736(99)02485-X[Crossref]
  • [16] Saussine M, Massad I, Raczka F, Davy JM, Frapier JM. Torsade de pointes during sevoflurane anesthesia in a child with congenital long QT syndrome. Paediatr Anaesth 2006;16:63–65 http://dx.doi.org/10.1111/j.1460-9592.2005.01593.x[Crossref]
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  • [19] Aypar E, Karagoz AH, Ozer S, Celiker A, Ocal T. The effects of sevoflurane and desflurane anesthesia on QTc interval and cardiac rhythm in children. Paediatr Anaesth. 2007;17:563–567 http://dx.doi.org/10.1111/j.1460-9592.2006.02152.x[Crossref]
  • [20] Ebert TJ, Muzi M. Sympathetic hyperactivity during desflurane anesthesia in healthy volunteers: a comparison with isoflurane. Anesthesiology 1993; 79: 444–453 http://dx.doi.org/10.1097/00000542-199309000-00006[Crossref]
  • [21] Nash MP, Thornton JM, Sears CE, et al. Ventricular activation during sympathetic imbalance and its computational reconstruction. J Appl Physiol 2001; 90: 287–298 [PubMed]
  • [22] Marret E, Pruszkowski O, Deleuze A, Bonnet F. Accelerated idioventricular rhythm associated with desflurane administration. Anesth nalg 2002; 95: 319–321 http://dx.doi.org/10.1097/00000539-200208000-00013[Crossref]
  • [23] Taylor MH, Wilton NC. Bradycardia with sevoflurane in siblings with Branchio-oto-renal syndrome. Paediatr Anaesth 2007;17:80–83 http://dx.doi.org/10.1111/j.1460-9592.2006.02024.x[Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-009-0115-5
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