Key result
A patient with poorly controlled diabetes developed torsade de pointes secondary to acute QT interval prolongation during sevoflurane anaesthesia but was successfully resuscitated.
Case Report (n=1)
Acute QT interval prolongation and torsade de pointes should be considered in patients with poor glycaemic control during prolonged procedures under sevoflurane anaesthesia.
May warrant QT monitoring in poorly controlled diabetes under sevoflurane; single case leaves association unconfirmed.
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.
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Thiruvenkatarajan et al. (2010) conducted a case report in Torsade de pointes, acute prolonged QT syndrome, poorly controlled diabetes (n=1). Sevoflurane anaesthesia was evaluated on Torsade de pointes. A patient with poorly controlled diabetes developed torsade de pointes secondary to acute QT interval prolongation during sevoflurane anaesthesia but was successfully resuscitated.
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