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March 17, 2006Acta Anaesthesiologica Scandinavica

A marked decrease in heart rate variability associated with junctional rhythm during anesthesia with sevoflurane and fentanyl

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Why the study?

How does the occurrence of junctional rhythm affect heart rate variability during general anesthesia?

Population

Patients undergoing general anesthesia with sevoflurane and fentanyl for elective surgery

Design

Case_report

Authors

YFYoshihiro FujiwaraYAY. AsakuraYSYohei Shibata

Discussion

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Overview

Junctional rhythm may confound HRV-based autonomic assessment during anesthesia; hypothesis-generating case observation needing prospective confirmation.

Structured PICO

How does the occurrence of junctional rhythm affect heart rate variability during general anesthesia?

P
Population
Patients undergoing general anesthesia with sevoflurane and fentanyl for elective surgery (n=2 patients who developed junctional rhythm)
I
Intervention
Occurrence of junctional rhythm during general anesthesia
O
Outcome
Heart rate variability (entropy, low frequency, and high frequency components)surrogate

Junctional rhythm during anesthesia causes a marked decrease in heart rate variability, which must be accounted for when evaluating autonomic control of the heart.

Cite This Study

Fujiwara et al. (2006) studied this question.

synapsesocial.com/papers/6a8a53081e528df4f2ec7152https://doi.org/10.1111/j.1399-6576.2006.00989.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Correlation between heart rate variability and haemodynamic fluctuation during induction of general anaesthesia: comparison between linear and non‐linear analysis*2007 · 20 citations
  2. 2Changes in heart rate variability in elderly patients undergoing major noncardiac surgery under spinal or general anesthesia1999 · 23 citations
  3. 3Delta Entropy of Heart Rate Variability Along with Deepening Anesthesia2011 · 15 citations
  4. 4General anesthesia suppresses normal heart rate variability in humans2014 · 19 citations
  5. 5CHARACTERIZATION OF HEART RATE VARIABILITY DURING TOTAL VENOUS ANESTHESIA: A CASE REPORT2018 · 2 citations