تقرير
Dexmedetomidine as an effective alternative tool for heart rate control in atrial fibrillation during general anesthesia-A case report.
| العنوان: | Dexmedetomidine as an effective alternative tool for heart rate control in atrial fibrillation during general anesthesia-A case report. |
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| المؤلفون: | Heo MH; Department of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Gyeonggi-do, South Korea., Cho MJ; Department of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Gyeonggi-do, South Korea., Lee SI; Department of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Gyeonggi-do, South Korea., Kim KW; Department of Anesthesiology and Pain Medicine, Inje University Ilsan Paik Hospital, Goyang, Gyeonggi-do, South Korea. |
| المصدر: | Saudi journal of anaesthesia [Saudi J Anaesth] 2024 Apr-Jun; Vol. 18 (2), pp. 299-301. Date of Electronic Publication: 2024 Mar 14. |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Medknow Publications Country of Publication: India NLM ID: 101500601 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1658-354X (Print) NLM ISO Abbreviation: Saudi J Anaesth Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: <2009-> : Mumbai : Medknow Publications Original Publication: Riyadh : Saudi Anaesthetic Association |
| مستخلص: | Atrial fibrillation (AF) is a common arrhythmia requiring effective heart rate (HR) management. Conventional therapies may not always achieve the desired HR control during intraoperative conditions. We present two cases of AF patients in whom dexmedetomidine, an alpha-2 receptor agonist, was utilized during surgery when conventional treatments proved ineffective. In Case 1, a 65-year-old male with multiple comorbidities underwent surgery. Despite receiving intraoperative medications for AF, his HR remained uncontrolled. Dexmedetomidine successfully stabilized his HR without complications. In Case 2, a 75-year-old male with heart disease experienced a sudden HR surge during surgery, which remained uncontrolled despite conventional treatment. Dexmedetomidine effectively managed his HR, ensuring a safer surgical course. While the primary indication of dexmedetomidine is not arrhythmia management, this case report suggests its potential in challenging cases. Further research is needed to explore its therapeutic role in tachyarrhythmia management and establish appropriate dosing strategies. Competing Interests: There are no conflicts of interest. (Copyright: © 2024 Saudi Journal of Anesthesia.) |
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| فهرسة مساهمة: | Keywords: Anesthesia; arrhythmias; atrial fibrillation; cardiac; dexmedetomidine; general; heart rate; intraoperative; monitoring |
| تواريخ الأحداث: | Date Created: 20240424 Latest Revision: 20240425 |
| رمز التحديث: | 20240425 |
| مُعرف محوري في PubMed: | PMC11033889 |
| DOI: | 10.4103/sja.sja_918_23 |
| PMID: | 38654877 |
| قاعدة البيانات: | MEDLINE |
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