Ventricular Tachycardia after Submucosal Infiltration of Lignocaine 2% with Adrenaline in Endoscopic Pituitary Surgery Under Desflurane Anesthesia
Infiltrative analgesia of the nasal cavity using a local anesthetic combined with a potent vasopressor like adrenaline is a well-accepted method for transnasal endoscopic approach in neurosurgeries under general anesthesia. The main purpose of vasoconstrictors in transnasal surgery is to cause blanc...
| Published in: | Journal of Neuroanaesthesiology and Critical Care |
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| Main Authors: | , , |
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2023-06-01
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| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1770774 |
| _version_ | 1849919965034971136 |
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| author | Shweta S. Naik Rohini M. Surve Mathangi Krishnakumar |
| author_facet | Shweta S. Naik Rohini M. Surve Mathangi Krishnakumar |
| author_sort | Shweta S. Naik |
| collection | DOAJ |
| container_title | Journal of Neuroanaesthesiology and Critical Care |
| description | Infiltrative analgesia of the nasal cavity using a local anesthetic combined with a potent vasopressor like adrenaline is a well-accepted method for transnasal endoscopic approach in neurosurgeries under general anesthesia. The main purpose of vasoconstrictors in transnasal surgery is to cause blanching of mucosa and reducing bleeding. Although it can reduce the systemic absorption and potential systemic toxicity of a local anesthetic, there can be systemic absorption of the vasoconstrictor itself. Desflurane can further potentiate the arrhythmogenicity of lignocaine with adrenaline by causing QTc prolongation. We report a case of transient ventricular tachycardia in a patient following nasal infiltration with lignocaine adrenaline under desflurane anesthesia. |
| format | Article |
| id | doaj-art-2e2d90e22f764ff592f2d2ead640f228 |
| institution | Directory of Open Access Journals |
| issn | 2348-0548 2348-926X |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| spelling | doaj-art-2e2d90e22f764ff592f2d2ead640f2282025-08-20T00:56:25ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2023-06-01100213213510.1055/s-0043-1770774Ventricular Tachycardia after Submucosal Infiltration of Lignocaine 2% with Adrenaline in Endoscopic Pituitary Surgery Under Desflurane AnesthesiaShweta S. Naik0https://orcid.org/0000-0002-8341-9901Rohini M. Surve1https://orcid.org/0000-0002-5740-7122Mathangi Krishnakumar2https://orcid.org/0000-0002-9225-3165Department of Neuroanaesthesia and Neurocritical Care, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, IndiaDepartment of Neuroanaesthesia and Neurocritical Care, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, IndiaDepartment of Anaesthesia and Critical Care, St John's Medical College Hospital, Bengaluru, Karnataka, IndiaInfiltrative analgesia of the nasal cavity using a local anesthetic combined with a potent vasopressor like adrenaline is a well-accepted method for transnasal endoscopic approach in neurosurgeries under general anesthesia. The main purpose of vasoconstrictors in transnasal surgery is to cause blanching of mucosa and reducing bleeding. Although it can reduce the systemic absorption and potential systemic toxicity of a local anesthetic, there can be systemic absorption of the vasoconstrictor itself. Desflurane can further potentiate the arrhythmogenicity of lignocaine with adrenaline by causing QTc prolongation. We report a case of transient ventricular tachycardia in a patient following nasal infiltration with lignocaine adrenaline under desflurane anesthesia.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1770774prolonged QTcdesfluraneadrenalineinfiltrationtransnasal surgery |
| spellingShingle | Shweta S. Naik Rohini M. Surve Mathangi Krishnakumar Ventricular Tachycardia after Submucosal Infiltration of Lignocaine 2% with Adrenaline in Endoscopic Pituitary Surgery Under Desflurane Anesthesia prolonged QTc desflurane adrenaline infiltration transnasal surgery |
| title | Ventricular Tachycardia after Submucosal Infiltration of Lignocaine 2% with Adrenaline in Endoscopic Pituitary Surgery Under Desflurane Anesthesia |
| title_full | Ventricular Tachycardia after Submucosal Infiltration of Lignocaine 2% with Adrenaline in Endoscopic Pituitary Surgery Under Desflurane Anesthesia |
| title_fullStr | Ventricular Tachycardia after Submucosal Infiltration of Lignocaine 2% with Adrenaline in Endoscopic Pituitary Surgery Under Desflurane Anesthesia |
| title_full_unstemmed | Ventricular Tachycardia after Submucosal Infiltration of Lignocaine 2% with Adrenaline in Endoscopic Pituitary Surgery Under Desflurane Anesthesia |
| title_short | Ventricular Tachycardia after Submucosal Infiltration of Lignocaine 2% with Adrenaline in Endoscopic Pituitary Surgery Under Desflurane Anesthesia |
| title_sort | ventricular tachycardia after submucosal infiltration of lignocaine 2 with adrenaline in endoscopic pituitary surgery under desflurane anesthesia |
| topic | prolonged QTc desflurane adrenaline infiltration transnasal surgery |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1770774 |
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