Perioperative Arrhythmias

Year 2017, , 41 - 48, 28.12.2017

Ali Altınbaş , Nilay Taş , Osman Bektaş

https://doi.org/10.19127/mbsjohs.353187

Cited By: 2

Abstract

Arrhythmias are the most commonly encountered cardiovascular complications
during anesthesia administration. Perioperative arrhythmias disrupt the
hemodynamic state of the patients and are known to cause increases in mortality
and morbidity. Anesthetic agents and methods affect cardiac conduction and
cause arrhythmia. At the same time, patients with additional cardiac diseases
and other systemic diseases affecting the cardiovascular system have increased
risk of perioperative arrhythmia. For the patient, regardless of whether due to
the surgical procedure or anesthesia type, the most important effect of
intraoperative arrhythmias is undoubtedly the resulting hemodynamic
instability. It is possible to encounter a broad range of serious rhythm and
hemodynamic disorders from rare ventricular extrasystole to malignant character
arrhythmia and sudden cardiac arrest. Temperature changes occurring in the
intraoperative period, hypoxia, acid-base disorders and variations in
electrolyte balance are significant factors affecting the occurrence of
arrhythmia. As there are many factors and mechanisms in the etiology, identifying
arrhythmia under anesthesia and performing the necessary intervention in the
shortest time possible has vital importance. This review deals with the
importance of arrhythmia occurring in the perioperative period and methods of
approach for arrhythmia.

Keywords

Arrhythmias, perioperative period, anesthesia

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