Prolonged QT Syndrome: Perioperative Management

Intraoperative cardiac arrhythmias related to prolonged QT syndrome are uncommon. We describe a 26-year-old woman in whom ventricular fibrillation occurred during the final minutes of a partial glossectomy and right supraomohyoid selective neck dissection and discuss the role that this specific oper...

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Veröffentlicht in:Mayo Clinic proceedings 1993-10, Vol.68 (10), p.1016-1020
Hauptverfasser: STRICKLAND, ROBERT A., STANTON, MARSHALL S., OLSEN, KERRY D.
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creator STRICKLAND, ROBERT A.
STANTON, MARSHALL S.
OLSEN, KERRY D.
description Intraoperative cardiac arrhythmias related to prolonged QT syndrome are uncommon. We describe a 26-year-old woman in whom ventricular fibrillation occurred during the final minutes of a partial glossectomy and right supraomohyoid selective neck dissection and discuss the role that this specific operation may have had in the development of the intraoperative event. In addition, we review the perioperative management of patients with prolonged QT syndrome.
doi_str_mv 10.1016/S0025-6196(12)62277-0
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We describe a 26-year-old woman in whom ventricular fibrillation occurred during the final minutes of a partial glossectomy and right supraomohyoid selective neck dissection and discuss the role that this specific operation may have had in the development of the intraoperative event. In addition, we review the perioperative management of patients with prolonged QT syndrome.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Atropine - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Cardiac dysrhythmias</subject><subject>Cardiology. 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ispartof Mayo Clinic proceedings, 1993-10, Vol.68 (10), p.1016-1020
issn 0025-6196
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subjects Adolescent
Adult
Atropine - therapeutic use
Biological and medical sciences
Carcinoma, Squamous Cell - surgery
Cardiac dysrhythmias
Cardiology. Vascular system
Child
Female
Glossectomy - adverse effects
Heart
Heart Arrest - drug therapy
Heart Arrest - etiology
Humans
Intraoperative Complications - drug therapy
Intraoperative Complications - etiology
Lidocaine - therapeutic use
Long QT Syndrome - complications
Long QT Syndrome - drug therapy
Male
Medical sciences
Monitoring, Intraoperative
Neck Dissection - adverse effects
Tongue Neoplasms - surgery
Ventricular Fibrillation - drug therapy
Ventricular Fibrillation - etiology
title Prolonged QT Syndrome: Perioperative Management
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