Left Frontal Lobe Tumor-Induced Intraoperative Premature Ventricular Beats

In the absence of cardiac pathology, premature ventricular contractions (PVCs) in neurosurgical patients frequently accompany subarachnoid hemorrhage, intracerebral hemorrhage, traumatic brain injury, or raised intracranial pressure. PVCs detected during preanesthesia assessment prompts detailed car...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Parmod K. Bithal, Ravees Jan, Bharani Kumar, Insha ur Rahman
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Materias:	left frontal lobe tumor premature ventricular contractions lignocaine autonomic nervous system imbalance Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/e875054a33c3404e87f7c87d843df129
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e875054a33c3404e87f7c87d843df129
record_format	dspace
spelling	oai:doaj.org-article:e875054a33c3404e87f7c87d843df1292021-12-02T23:53:13ZLeft Frontal Lobe Tumor-Induced Intraoperative Premature Ventricular Beats2348-05482348-926X10.1055/s-0041-1731978https://doaj.org/article/e875054a33c3404e87f7c87d843df1292021-09-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1731978https://doaj.org/toc/2348-0548https://doaj.org/toc/2348-926XIn the absence of cardiac pathology, premature ventricular contractions (PVCs) in neurosurgical patients frequently accompany subarachnoid hemorrhage, intracerebral hemorrhage, traumatic brain injury, or raised intracranial pressure. PVCs detected during preanesthesia assessment prompts detailed cardiac evaluation. Our 57-year-old patient, a case of left frontal meningioma, with controlled hypertension, diabetes and hypothyroidism, had normal preoperative ECG and potassium. However, immediately on anesthesia induction, she developed multiple refractory to treatment PVCs but with normal blood pressure. Anesthesia, which was maintained with sevoflurane and fentanyl, was deepened to exclude light anesthesia as the cause, without useful outcome. Two lignocaine boluses (100 mg each), followed by its infusion, also proved ineffective. Her blood gases and potassium, checked twice, were normal. Throughout, her hemodynamics remained stable. As soon as tumor was removed, the PVCs disappeared not to return. Her postoperative recovery was uneventful with normal ECG.Parmod K. BithalRavees JanBharani KumarInsha ur RahmanThieme Medical and Scientific Publishers Pvt. Ltd.articleleft frontal lobe tumorpremature ventricular contractionslignocaineautonomic nervous system imbalanceAnesthesiologyRD78.3-87.3ENJournal of Neuroanaesthesiology and Critical Care, Vol 08, Iss 03, Pp 220-222 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	left frontal lobe tumor premature ventricular contractions lignocaine autonomic nervous system imbalance Anesthesiology RD78.3-87.3
spellingShingle	left frontal lobe tumor premature ventricular contractions lignocaine autonomic nervous system imbalance Anesthesiology RD78.3-87.3 Parmod K. Bithal Ravees Jan Bharani Kumar Insha ur Rahman Left Frontal Lobe Tumor-Induced Intraoperative Premature Ventricular Beats
description	In the absence of cardiac pathology, premature ventricular contractions (PVCs) in neurosurgical patients frequently accompany subarachnoid hemorrhage, intracerebral hemorrhage, traumatic brain injury, or raised intracranial pressure. PVCs detected during preanesthesia assessment prompts detailed cardiac evaluation. Our 57-year-old patient, a case of left frontal meningioma, with controlled hypertension, diabetes and hypothyroidism, had normal preoperative ECG and potassium. However, immediately on anesthesia induction, she developed multiple refractory to treatment PVCs but with normal blood pressure. Anesthesia, which was maintained with sevoflurane and fentanyl, was deepened to exclude light anesthesia as the cause, without useful outcome. Two lignocaine boluses (100 mg each), followed by its infusion, also proved ineffective. Her blood gases and potassium, checked twice, were normal. Throughout, her hemodynamics remained stable. As soon as tumor was removed, the PVCs disappeared not to return. Her postoperative recovery was uneventful with normal ECG.
format	article
author	Parmod K. Bithal Ravees Jan Bharani Kumar Insha ur Rahman
author_facet	Parmod K. Bithal Ravees Jan Bharani Kumar Insha ur Rahman
author_sort	Parmod K. Bithal
title	Left Frontal Lobe Tumor-Induced Intraoperative Premature Ventricular Beats
title_short	Left Frontal Lobe Tumor-Induced Intraoperative Premature Ventricular Beats
title_full	Left Frontal Lobe Tumor-Induced Intraoperative Premature Ventricular Beats
title_fullStr	Left Frontal Lobe Tumor-Induced Intraoperative Premature Ventricular Beats
title_full_unstemmed	Left Frontal Lobe Tumor-Induced Intraoperative Premature Ventricular Beats
title_sort	left frontal lobe tumor-induced intraoperative premature ventricular beats
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2021
url	https://doaj.org/article/e875054a33c3404e87f7c87d843df129
work_keys_str_mv	AT parmodkbithal leftfrontallobetumorinducedintraoperativeprematureventricularbeats AT raveesjan leftfrontallobetumorinducedintraoperativeprematureventricularbeats AT bharanikumar leftfrontallobetumorinducedintraoperativeprematureventricularbeats AT inshaurrahman leftfrontallobetumorinducedintraoperativeprematureventricularbeats
_version_	1718374020796121088

Left Frontal Lobe Tumor-Induced Intraoperative Premature Ventricular Beats

Ejemplares similares