Thiruvenkatarajan V, Osborn K D, Van Wijk R M A W, Euler P, Sethi R, Moodie S, Biradar V
Department of Anaesthesia, The Queen Elizabeth Hospital, Woodville, South Australia, Australia.
Anaesth Intensive Care. 2010 May;38(3):555-9. doi: 10.1177/0310057X1003800323.
We report a case of torsade de pointes secondary to acute QT interval prolongation in a patient with poorly controlled diabetes mellitus towards the end of a laparoscopic nephrectomy under sevoflurane anaesthesia. The patient was successfully resuscitated and made a complete recovery. Our case suggests that acute QT interval prolongation should be considered in any patient with poor glycaemic control during prolonged procedures.