Perioperative Arrhythmias

Yıl 2017, Cilt: 3 Sayı: 3, 41 - 48, 28.12.2017

Ali Altınbaş , Nilay Taş , Osman Bektaş

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

Cited By: 2

Öz

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.

Anahtar Kelimeler

Arrhythmias, perioperative period, anesthesia

Kaynakça

• Akyel A, Tavil Y. Akut Miyokard İnfakrktüsünde Aritmiler; Sebepleri ve Teadvi Yaklaşımları. Bülent Görenek. Aritmiler; Nedenleri, Güncel Tanı ve Tedavi Yöntemleri. İstanbul, Nobel Tıp Kitabevleri; 2010. p.445-49.
• Balser JR. Perioperative arrhythmias: incidence, risk assessment, evaluation, and management. Card Electrophysiol Rev. 2002 Feb;6(1-2):96-9. Beton O, Tandoğan İ. Kalbin İleti Sistemi. Türkiye Klinikleri J Cardiol-Special Topics 2011;4(6):1-8.
• Duncan D, Wijeysundera DN. Preoperative cardiac evaluation and management of the patient undergoing major vascular surgery. Int Anesthesiol Clin 2016;54(2):1-32.
• Erdemli Ö, Çekmen N. Aritmiler ve Anestezi. Türkiye Klinikleri J Anest Reanim 2010;3(1):43-53.
• Flegal MC, Fox LK, Kuhlman SM. Principles of anesthesia monitoring and electrocardiogram. J Invest Surg. 2009 Jul-Aug;22(4):316-7.
• Hasdemir C. Ventriküler Aritmiler: Tanımlamalar, Nedenleri ve Oluşum Mekanizmaları. Bülent Görenek. Aritmiler; Nedenleri, Güncel Tanı ve Tedavi Yöntemleri. İstanbul, Nobel Tıp Kitabevleri; 2010. p.297-306.
• Hunter JM. Neuromuscular blocking and reversal agents. In: Hutton P, Cooper GM, James F, Butterworth JF (eds). Fundamental principles and practice of anaesthesia. 1 st ed. London: Martin Dunitz Ltd, The livery House 2002:633-44.
• Kwon CH, Kim SH. Intraoperative management of critical arrhythmia. Korean J Anesthesiol. 2017 Apr;70(2):120-126.
• Mandim BL, Achá RE, Fonseca NM, Zumpano F. Cardiac arrhythmias and ST changes in the perioperative period of elderly patients submitted to transurethral prostatectomy under spinal anesthesia: comparative study. Rev Bras Anestesiol. 2004 Apr;54(2):190-203.
• Melek M. Atriyum Fibrilasyonu; Klinik Önemi, Nedenleri. Bülent Görenek. Aritmiler; Nedenleri, Güncel Tanı ve Tedavi Yöntemleri. İstanbul, Nobel Tıp Kitabevleri; 2010. p.227-247.
• O'Neal WT, Kamel H, Judd SE, Safford MM, Vaccarino V, Howard VJ, Howard G, Soliman EZ. Usefulness of Atrial Premature Complexes on Routine Electrocardiogram to Determine the Risk of Atrial Fibrillation (from the REGARDS Study). Am J Cardiol. 2017 Sep 1;120(5):782-785.
• Polanczyk CA, Goldman L, Marcantonio ER, Orav EJ, Lee TH. Supraventricular arrhythmia in patients having noncardiac surgery: clinical correlates and effect on length of stay. Ann Intern Med. 1998 Aug 15;129(4):279-85.
• Rafiq A, Sklyar E, Bella JN. Cardiac Evaluation and Monitoring of Patients Undergoing Noncardiac Surgery. Health Serv Insights 2017; doi: 10.1177/1178632916686074
• Süzer MA, Özhan MÖ, Eşkin MB, Atik B, Çaparlar C. Lipit İnfüzyonu Kullanılarak Başarıyla Tedavi Edilen Bir Lokal Anestezik Toksisitesi. Türk Anest Rean Der Dergisi 2011; 39(3):159-63.
• Thompson A, Balser J.R. Perioperative cardiac arrhythmias. Br J Anaesth 2004; 93(1):86-94.
• Timuralp B. Aritmilerin Ayırıcı Tanısında Fizik Muayene. Bülent Görenek. Aritmiler; Nedenleri, Güncel Tanı ve Tedavi Yöntemleri. İstanbul, Nobel Tıp Kitabevleri; 2010. p. 9-17.
• Trappe HJ, Brandts B, Weismueller P. Arrhythmias in the intensive care patient. Curr Opin Crit Care. 2003 Oct;9(5):345-55.
• Tyler CL. Intraoperative cardiac emergencies. Crit Care Nurs Clin North Am. 2015 Mar;27(1):17-31.
• Yapıcı D, Azizoğlu M. Aritmiler ve Anestezi. Bölüm 19. A. Dönmez, Z. Özer, A. Kararmaz. Anestezi ve Kalp. Türkiye; 2015. p. 379-402. Available from: http://www.tard.org.tr/akademi/?p=book&bID=5&session=11275606167872-22551212335744.
• Zoghi M, Duygu H. Ritim Bozukluklarının Elektrofizyolojisi ve Aritmilerin Sınıflandırması. Türkiye Klinikleri J Int Med Sci 2006;2(33):60-5.