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S Fentanyl/propofol/suxamethonium chloride Cardiac arrest: case reportA 44-year-old woman developed cardiac arrest during general anaesthesia with fentanyl, suxamethonium chloride [succinylcholine], and propofol [routes and frequencies not stated; durations of treatments to reaction onset not clearly stated].The woman underwent emergency laparotomy. Fentanyl 150µg, propofol 120mg, and suxamethonium chloride 80mg were administered as part of rapid-sequence induction. She also received cisatracurium besilate. Administration of the drugs was followed by persistent hypotension which was refractory to ephedrine and crystalloid infusion. An ECG revealed sinus bradycardia which was followed by electromechanical dissociation and asystole.CPR was performed and after seven defibrillations and 1 hour of CPR, sinus rhythm was re-established. The woman was eventually discharged with complete clinical remission and her general condition was good. One year later, she was scheduled to undergo a radical mastectomy under general anaesthesia. Induction was performed with propofol 180mg and fentanyl 250µg in addition to midazolam and rocuronium bromide. She developed ventricular ectopic beats and a brief period of ventricular tachycardia was followed by asystole. CPR was performed and sinus rhythm was promptly restored. Her surgery was postponed and further investigation revealed that she had an anomalous origin of the left coronary artery. Her breast surgery was later carried out with induction with fentanyl 250µg, etomidate, and cisatracurium besilate. She had no haemodynamic complications and was discharged from hospital. At a 1-year follow-up, she had not experienced any cardiac events.Author comment: "[Suxamethonium chloride] may have contributed to the first episode of cardiac arrest presented by the patient. . . Our hypothesis is that, because of the anomalous coronary artery anatomy, myocardial ischemia occurred over a period of hypotention [sic] of the aortic bulb induced by anesthetic drugs." Daher M, et al. Sudden cardiac arrest in general anesthesia as the first manifestation of anomalous origin of the left coronary artery. Revista Brasileira de Anestesiologia 62: 878-884, No. 6, Nov-Dec 2012. Available from: URL: http:// dx.
S Fentanyl/propofol/suxamethonium chloride Cardiac arrest: case reportA 44-year-old woman developed cardiac arrest during general anaesthesia with fentanyl, suxamethonium chloride [succinylcholine], and propofol [routes and frequencies not stated; durations of treatments to reaction onset not clearly stated].The woman underwent emergency laparotomy. Fentanyl 150µg, propofol 120mg, and suxamethonium chloride 80mg were administered as part of rapid-sequence induction. She also received cisatracurium besilate. Administration of the drugs was followed by persistent hypotension which was refractory to ephedrine and crystalloid infusion. An ECG revealed sinus bradycardia which was followed by electromechanical dissociation and asystole.CPR was performed and after seven defibrillations and 1 hour of CPR, sinus rhythm was re-established. The woman was eventually discharged with complete clinical remission and her general condition was good. One year later, she was scheduled to undergo a radical mastectomy under general anaesthesia. Induction was performed with propofol 180mg and fentanyl 250µg in addition to midazolam and rocuronium bromide. She developed ventricular ectopic beats and a brief period of ventricular tachycardia was followed by asystole. CPR was performed and sinus rhythm was promptly restored. Her surgery was postponed and further investigation revealed that she had an anomalous origin of the left coronary artery. Her breast surgery was later carried out with induction with fentanyl 250µg, etomidate, and cisatracurium besilate. She had no haemodynamic complications and was discharged from hospital. At a 1-year follow-up, she had not experienced any cardiac events.Author comment: "[Suxamethonium chloride] may have contributed to the first episode of cardiac arrest presented by the patient. . . Our hypothesis is that, because of the anomalous coronary artery anatomy, myocardial ischemia occurred over a period of hypotention [sic] of the aortic bulb induced by anesthetic drugs." Daher M, et al. Sudden cardiac arrest in general anesthesia as the first manifestation of anomalous origin of the left coronary artery. Revista Brasileira de Anestesiologia 62: 878-884, No. 6, Nov-Dec 2012. Available from: URL: http:// dx.
A parada cardíaca perioperatória é uma complicação grave que desafia a prática médica, resultando em morbidade e mortalidade significativas. Este estudo teve como objetivo central examinar a incidência, fatores de risco, desfechos e mortalidade associados a essa condição no contexto brasileiro. Para isso, uma revisão sistemática foi conduzida, envolvendo a busca e análise de estudos epidemiológicos publicados sobre o tema. Os critérios de inclusão foram aplicados para selecionar os estudos pertinentes, que foram avaliados quanto à sua qualidade e relevância. Os resultados obtidos proporcionaram uma compreensão mais aprofundada da epidemiologia da parada cardíaca perioperatória no Brasil, incluindo tendências temporais, fatores de risco identificados e desfechos clínicos associados. Esses achados têm implicações importantes para a prática clínica e a formulação de políticas de saúde, visando melhorar a prevenção, o diagnóstico e o manejo dessa complicação crítica durante procedimentos cirúrgicos, com o objetivo último de promover melhores resultados e qualidade de vida para os pacientes.
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