Cardiac rhythm disturbances during fiberoptic bronchoscopy: a prospective study
Twenty-six patients undergoing transnasal fiberoptic bronchoscopy (FOB) were electrocardiographically monitored for 12 hours before, during, and 12 hours after bronchoscopy. We measured arterial lidocaine concentrations during the procedure as well as arterial blood gases before and after the proced...
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| Veröffentlicht in: | The Journal of thoracic and cardiovascular surgery 1979-04, Vol.77 (4), p.557-561 |
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| container_issue | 4 |
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| container_title | The Journal of thoracic and cardiovascular surgery |
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| creator | Elguindi, AS Harrison, GN Abdulla, AM Chaudhary, BA Vallner, JJ Kolbeck, RC Speir, WA, Jr |
| description | Twenty-six patients undergoing transnasal fiberoptic bronchoscopy (FOB) were electrocardiographically monitored for 12 hours before, during, and 12 hours after bronchoscopy. We measured arterial lidocaine concentrations during the procedure as well as arterial blood gases before and after the procedure. The incidence of total arrhythmias, including sinus tachycardia, during the control period was 69 percent; minor arrhythmias, 69 percent; and major arrhythmias, 8 percent. During FOB, the incidence of total and minor arrhythmias increased to 77 and 73 percent, respectively; however, the incidence of major arrhythmias decreased to 4 percent. Arterial lidocaine concentrations ranged widely, from 0.1 to 8.7 microgram per milliliter with a mean peak level of 5.0 +/- 0.6 microgram per milliliter, which was reached between 5 and 30 minutes after the insertion of the bronchoscope. We conclude that the incidence of cardiac arrhythmias, excluding sinus tachycardia, during FOB is low and that lidocaine anesthesia probably exerts a protective effect against the development of major arrhythmias during the procedure. |
| doi_str_mv | 10.1016/s0022-5223(19)38261-3 |
| format | Article |
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We measured arterial lidocaine concentrations during the procedure as well as arterial blood gases before and after the procedure. The incidence of total arrhythmias, including sinus tachycardia, during the control period was 69 percent; minor arrhythmias, 69 percent; and major arrhythmias, 8 percent. During FOB, the incidence of total and minor arrhythmias increased to 77 and 73 percent, respectively; however, the incidence of major arrhythmias decreased to 4 percent. Arterial lidocaine concentrations ranged widely, from 0.1 to 8.7 microgram per milliliter with a mean peak level of 5.0 +/- 0.6 microgram per milliliter, which was reached between 5 and 30 minutes after the insertion of the bronchoscope. We conclude that the incidence of cardiac arrhythmias, excluding sinus tachycardia, during FOB is low and that lidocaine anesthesia probably exerts a protective effect against the development of major arrhythmias during the procedure.</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1016/s0022-5223(19)38261-3</identifier><identifier>PMID: 423589</identifier><language>eng</language><publisher>United States: AATS/WTSA</publisher><subject>Adult ; Aged ; Arrhythmias, Cardiac - etiology ; Blood Gas Analysis ; Bronchoscopy - adverse effects ; Bronchoscopy - methods ; Electrocardiography ; Female ; Fiber Optic Technology ; Humans ; Lidocaine - blood ; Male ; Middle Aged ; Monitoring, Physiologic ; Prospective Studies ; Respiratory Tract Diseases - diagnosis ; Tachycardia - etiology</subject><ispartof>The Journal of thoracic and cardiovascular surgery, 1979-04, Vol.77 (4), p.557-561</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-444f3effbc9d6ea97ae5b447ca6eedb266fc735ba015fc778a4cfa0c19646e673</citedby><cites>FETCH-LOGICAL-c381t-444f3effbc9d6ea97ae5b447ca6eedb266fc735ba015fc778a4cfa0c19646e673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/423589$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Elguindi, AS</creatorcontrib><creatorcontrib>Harrison, GN</creatorcontrib><creatorcontrib>Abdulla, AM</creatorcontrib><creatorcontrib>Chaudhary, BA</creatorcontrib><creatorcontrib>Vallner, JJ</creatorcontrib><creatorcontrib>Kolbeck, RC</creatorcontrib><creatorcontrib>Speir, WA, Jr</creatorcontrib><title>Cardiac rhythm disturbances during fiberoptic bronchoscopy: a prospective study</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>Twenty-six patients undergoing transnasal fiberoptic bronchoscopy (FOB) were electrocardiographically monitored for 12 hours before, during, and 12 hours after bronchoscopy. We measured arterial lidocaine concentrations during the procedure as well as arterial blood gases before and after the procedure. The incidence of total arrhythmias, including sinus tachycardia, during the control period was 69 percent; minor arrhythmias, 69 percent; and major arrhythmias, 8 percent. During FOB, the incidence of total and minor arrhythmias increased to 77 and 73 percent, respectively; however, the incidence of major arrhythmias decreased to 4 percent. Arterial lidocaine concentrations ranged widely, from 0.1 to 8.7 microgram per milliliter with a mean peak level of 5.0 +/- 0.6 microgram per milliliter, which was reached between 5 and 30 minutes after the insertion of the bronchoscope. We conclude that the incidence of cardiac arrhythmias, excluding sinus tachycardia, during FOB is low and that lidocaine anesthesia probably exerts a protective effect against the development of major arrhythmias during the procedure.</description><subject>Adult</subject><subject>Aged</subject><subject>Arrhythmias, Cardiac - etiology</subject><subject>Blood Gas Analysis</subject><subject>Bronchoscopy - adverse effects</subject><subject>Bronchoscopy - methods</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Fiber Optic Technology</subject><subject>Humans</subject><subject>Lidocaine - blood</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Monitoring, Physiologic</subject><subject>Prospective Studies</subject><subject>Respiratory Tract Diseases - diagnosis</subject><subject>Tachycardia - etiology</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1979</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMtOwzAQRS3EqxT-AKSsECwCdvxK2KGKl1SpC0BiZznOuHGVNMFOQPl7UlrBamZx7tzRQeiC4BuCibgNGCdJzJOEXpHsmqaJIDHdQxOCMxmLlH_so8kfcoxOQlhhjCUm2RE6ZAnlaTZBi5n2hdMm8uXQlXVUuND1PtdrAyEqeu_Wy8i6HHzTds5EuW_WpmyCadrhLtJR65vQguncF0RjsBhO0YHVVYCz3Zyi98eHt9lzPF88vczu57GhKelixpilYG1uskKAzqQGnjMmjRYARZ4IYY2kPNeY8HGTqWbGamxIJpgAIekUXW7vjh989hA6VbtgoKr0Gpo-KMmYoBynI8i3oBlfDR6sar2rtR8UwWrjUb1uJKmNJEUy9etR0TF3vivo8xqKv9RW3H9_6Zblt_OgQq2raoSJWnUmSKmY4lzSH1NNfdg</recordid><startdate>197904</startdate><enddate>197904</enddate><creator>Elguindi, AS</creator><creator>Harrison, GN</creator><creator>Abdulla, AM</creator><creator>Chaudhary, BA</creator><creator>Vallner, JJ</creator><creator>Kolbeck, RC</creator><creator>Speir, WA, Jr</creator><general>AATS/WTSA</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>197904</creationdate><title>Cardiac rhythm disturbances during fiberoptic bronchoscopy: a prospective study</title><author>Elguindi, AS ; Harrison, GN ; Abdulla, AM ; Chaudhary, BA ; Vallner, JJ ; Kolbeck, RC ; Speir, WA, Jr</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-444f3effbc9d6ea97ae5b447ca6eedb266fc735ba015fc778a4cfa0c19646e673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1979</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arrhythmias, Cardiac - etiology</topic><topic>Blood Gas Analysis</topic><topic>Bronchoscopy - adverse effects</topic><topic>Bronchoscopy - methods</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Fiber Optic Technology</topic><topic>Humans</topic><topic>Lidocaine - blood</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Monitoring, Physiologic</topic><topic>Prospective Studies</topic><topic>Respiratory Tract Diseases - diagnosis</topic><topic>Tachycardia - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Elguindi, AS</creatorcontrib><creatorcontrib>Harrison, GN</creatorcontrib><creatorcontrib>Abdulla, AM</creatorcontrib><creatorcontrib>Chaudhary, BA</creatorcontrib><creatorcontrib>Vallner, JJ</creatorcontrib><creatorcontrib>Kolbeck, RC</creatorcontrib><creatorcontrib>Speir, WA, Jr</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Elguindi, AS</au><au>Harrison, GN</au><au>Abdulla, AM</au><au>Chaudhary, BA</au><au>Vallner, JJ</au><au>Kolbeck, RC</au><au>Speir, WA, Jr</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiac rhythm disturbances during fiberoptic bronchoscopy: a prospective study</atitle><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle><addtitle>J Thorac Cardiovasc Surg</addtitle><date>1979-04</date><risdate>1979</risdate><volume>77</volume><issue>4</issue><spage>557</spage><epage>561</epage><pages>557-561</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><abstract>Twenty-six patients undergoing transnasal fiberoptic bronchoscopy (FOB) were electrocardiographically monitored for 12 hours before, during, and 12 hours after bronchoscopy. We measured arterial lidocaine concentrations during the procedure as well as arterial blood gases before and after the procedure. The incidence of total arrhythmias, including sinus tachycardia, during the control period was 69 percent; minor arrhythmias, 69 percent; and major arrhythmias, 8 percent. During FOB, the incidence of total and minor arrhythmias increased to 77 and 73 percent, respectively; however, the incidence of major arrhythmias decreased to 4 percent. Arterial lidocaine concentrations ranged widely, from 0.1 to 8.7 microgram per milliliter with a mean peak level of 5.0 +/- 0.6 microgram per milliliter, which was reached between 5 and 30 minutes after the insertion of the bronchoscope. We conclude that the incidence of cardiac arrhythmias, excluding sinus tachycardia, during FOB is low and that lidocaine anesthesia probably exerts a protective effect against the development of major arrhythmias during the procedure.</abstract><cop>United States</cop><pub>AATS/WTSA</pub><pmid>423589</pmid><doi>10.1016/s0022-5223(19)38261-3</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Journal of thoracic and cardiovascular surgery, 1979-04, Vol.77 (4), p.557-561 |
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| source | MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Aged Arrhythmias, Cardiac - etiology Blood Gas Analysis Bronchoscopy - adverse effects Bronchoscopy - methods Electrocardiography Female Fiber Optic Technology Humans Lidocaine - blood Male Middle Aged Monitoring, Physiologic Prospective Studies Respiratory Tract Diseases - diagnosis Tachycardia - etiology |
| title | Cardiac rhythm disturbances during fiberoptic bronchoscopy: a prospective study |
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