Development of multifocal atrial tachycardia in a patient using aminophylline -A case report-
An 82-year-old female, with left femoral neck fracture was scheduled for left hip hemiarthroplasty, under spinal anaesthesia. She had been suffering from diabetes, hypertension, lung cancer and was previously treated with IV aminophylline for respiratory insufficiency. She was given spinal anaesthes...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Korean Society of Anesthesiologists
2010-12-01
|
Series: | Korean Journal of Anesthesiology |
Subjects: | |
Online Access: | http://ekja.org/upload/pdf/kjae-59-S77.pdf |
id |
doaj-2ee2f76abf074e1f93f0520ea7471b83 |
---|---|
record_format |
Article |
spelling |
doaj-2ee2f76abf074e1f93f0520ea7471b832020-11-25T03:08:12ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632010-12-0159SupplS77S8110.4097/kjae.2010.59.S.S777066Development of multifocal atrial tachycardia in a patient using aminophylline -A case report-Lee Kyoung Kim0Chul Seung Lee1Jun Gong Jeun2Department of Anesthesiology and Pain Medicine, Gwangju Cristian Hospital, Gwangju, Korea.Department of Anesthesiology and Pain Medicine, Gwangju Cristian Hospital, Gwangju, Korea.Department of Anesthesiology and Pain Medicine, Gwangju Cristian Hospital, Gwangju, Korea.An 82-year-old female, with left femoral neck fracture was scheduled for left hip hemiarthroplasty, under spinal anaesthesia. She had been suffering from diabetes, hypertension, lung cancer and was previously treated with IV aminophylline for respiratory insufficiency. She was given spinal anaesthesia with 10 mg of 0.5% hyperbaric bupivacaine, and T6 sensory block level was established. After 10 minutes, her blood pressure dropped to 80/60 mmHg, so intravenous ephedrine was given. At that moment, multifocal atrial tachycardia (MAT) appeared on electrocardiogram (ECG). Intravenous infusion of phenylephrine and procainamide was given and conversion of MAT to sinus rhythm was successfully achieved. We report a case of MAT after spinal anaesthesia, in a patient with respiratory insufficiency previously treated with IV aminophylline, which was successfully treated by intravenous infusion of phenylephrine and procainamide.http://ekja.org/upload/pdf/kjae-59-S77.pdfaminophyllinemultifocal atrial tachycardiaprocainamiderespiratory insufficiencyspinal block |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Lee Kyoung Kim Chul Seung Lee Jun Gong Jeun |
spellingShingle |
Lee Kyoung Kim Chul Seung Lee Jun Gong Jeun Development of multifocal atrial tachycardia in a patient using aminophylline -A case report- Korean Journal of Anesthesiology aminophylline multifocal atrial tachycardia procainamide respiratory insufficiency spinal block |
author_facet |
Lee Kyoung Kim Chul Seung Lee Jun Gong Jeun |
author_sort |
Lee Kyoung Kim |
title |
Development of multifocal atrial tachycardia in a patient using aminophylline -A case report- |
title_short |
Development of multifocal atrial tachycardia in a patient using aminophylline -A case report- |
title_full |
Development of multifocal atrial tachycardia in a patient using aminophylline -A case report- |
title_fullStr |
Development of multifocal atrial tachycardia in a patient using aminophylline -A case report- |
title_full_unstemmed |
Development of multifocal atrial tachycardia in a patient using aminophylline -A case report- |
title_sort |
development of multifocal atrial tachycardia in a patient using aminophylline -a case report- |
publisher |
Korean Society of Anesthesiologists |
series |
Korean Journal of Anesthesiology |
issn |
2005-6419 2005-7563 |
publishDate |
2010-12-01 |
description |
An 82-year-old female, with left femoral neck fracture was scheduled for left hip hemiarthroplasty, under spinal anaesthesia. She had been suffering from diabetes, hypertension, lung cancer and was previously treated with IV aminophylline for respiratory insufficiency. She was given spinal anaesthesia with 10 mg of 0.5% hyperbaric bupivacaine, and T6 sensory block level was established. After 10 minutes, her blood pressure dropped to 80/60 mmHg, so intravenous ephedrine was given. At that moment, multifocal atrial tachycardia (MAT) appeared on electrocardiogram (ECG). Intravenous infusion of phenylephrine and procainamide was given and conversion of MAT to sinus rhythm was successfully achieved. We report a case of MAT after spinal anaesthesia, in a patient with respiratory insufficiency previously treated with IV aminophylline, which was successfully treated by intravenous infusion of phenylephrine and procainamide. |
topic |
aminophylline multifocal atrial tachycardia procainamide respiratory insufficiency spinal block |
url |
http://ekja.org/upload/pdf/kjae-59-S77.pdf |
work_keys_str_mv |
AT leekyoungkim developmentofmultifocalatrialtachycardiainapatientusingaminophyllineacasereport AT chulseunglee developmentofmultifocalatrialtachycardiainapatientusingaminophyllineacasereport AT jungongjeun developmentofmultifocalatrialtachycardiainapatientusingaminophyllineacasereport |
_version_ |
1724666981958811648 |