Key result
Prompt pharmacological intervention resolves intraoperative ventricular bigeminy during laparoscopic cholecystectomy in a single case.
Why the study?
Ventricular arrhythmias during general anesthesia are usually benign but can present abruptly and progress without identifiable risk factors.
Case Report (n=1)
This case highlights the importance of vigilant intraoperative monitoring and timely management of ventricular ectopy during general anesthesia, even in low-risk patients.
Answers are grounded in this paper and cite their sources.
May support prompt arrhythmia intervention under anesthesia; single case leaves open need for prospective validation.
Ventricular arrhythmias during general anesthesia are commonly benign but may occasionally present abruptly and progress despite the absence of identifiable risk factors. We report a case of intraoperative ventricular bigeminy occurring during laparoscopic cholecystectomy in a 68-year-old female with no comorbidities and good functional capacity. The arrhythmia developed shortly after surgical incision, progressed from isolated ventricular premature complexes to ventricular bigeminy, and resolved following prompt pharmacological intervention. This case highlights the importance of vigilant intraoperative monitoring, systematic exclusion of reversible causes, and timely management of ventricular ectopy even in low-risk patients.
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Dangol et al. (2026) conducted a case report in Intraoperative ventricular bigeminy (n=1). Pharmacological intervention was evaluated on Resolution of arrhythmia. Prompt pharmacological intervention successfully resolved intraoperative ventricular bigeminy in a 68-year-old female undergoing laparoscopic cholecystectomy.
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