Key result
A rapid increase in desflurane concentration during anesthesia induction induced accelerated idioventricular rhythm in a 63-year-old woman, which persisted even after switching to sevoflurane.
Case Report (n=1)
No
Highlights desflurane administration as a potential trigger for accelerated idioventricular rhythm.
Rapid desflurane rise may trigger accelerated idioventricular rhythm; single case leaves open causality and needs confirmation.
Accelerated idioventricular rhythm is defined as a ventricular rhythm of 60-100 beats per minute or a ventricular tachycardia that does nor exceed 120 beats per minutes. Although, it rarely converts to a fatal arrhythmia like ventricular fibrillation, it needs to be differentiated from AIVR, which is from another origin. AIVR may occur due to ischemic heart disease (ST elevated myocardial infarction), cardiomyopathy, rheumatic fever and digitalis intoxication. We report here on a case of AIVR that was related to desflurane administration.
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Bang et al. (2009) conducted a case report in Accelerated idioventricular rhythm (n=1). Desflurane was evaluated on Development of accelerated idioventricular rhythm. A rapid increase in desflurane concentration during anesthesia induction induced accelerated idioventricular rhythm in a 63-year-old woman, which persisted even after switching to sevoflurane.
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