Kundra Pankaj, Vinodhadevi V, Arimanickam G
Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
J Anaesthesiol Clin Pharmacol. 2011 Apr;27(2):269-71. doi: 10.4103/0970-9185.81844.
When inhalational induction is indicated, sevoflurane is the most popular choice in both children and adults. Higher inspired concentrations of sevoflurane can cause adverse cardiac arrhythmias that are seen to disappear once the agent is discontinued. We report the occurrence of isorhythmic atrioventricular dissociation and junctional rhythm with absent P waves during sevoflurane anaesthesia in an adult and a child, respectively.
当需要采用吸入诱导时,七氟醚是儿童和成人中最常用的选择。较高浓度吸入七氟醚可导致不良心律失常,停用该药物后心律失常现象会消失。我们分别报告了一名成人和一名儿童在七氟醚麻醉期间出现等节律性房室分离和交界性心律且P波消失的情况。